Organization
TIMBER MESA FIRE AND MEDICAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY CHEVALIER (FIRE CHIEF)
(928) 537-5100
Entity
Organization
Contact information
Practice address
2922 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6152
(928) 537-5100
(928) 368-5643
Mailing address
3561 E DEUCE OF CLUBS, SHOW LOW, AZ 85901-5268
(928) 537-5100
(928) 368-5643
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093135
—
AZ
Enumeration date
08/04/2015
Last updated
08/30/2024
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