Organization
PINEWOOD FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY MOHLER (OFFICE MANAGER)
(928) 286-9885
Entity
Organization
Contact information
Practice address
475 EAST PINEWOOD BOULEVARD, MUNDS PARK, AZ 86017-8638
(928) 286-9885
(928) 286-2595
Mailing address
PO BOX 18638, MUNDS PARK, AZ 86017-8638
(928) 286-9885
(928) 286-2595
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113879001
—
AZ
01
—
1Z6659
HEALTHNET
AZ
01
—
590008390
MEDICARE PALMETTO R/R
AZ
01
—
87265
BENESIGHT
AZ
01
—
AZ0151380
BCBS
AZ
01
—
ZRGAAB
MEDICARE ID-PIN
AZ
Enumeration date
02/17/2006
Last updated
12/22/2017
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