Organization
PINETOP VOLUNTEER FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYNN LEIGH LONGENBAUGH (ACCOUNTS RECEIVABLE MANAGER)
(928) 368-6799
Entity
Organization
Contact information
Practice address
1845 S PINE LAKE RD, PINETOP, AZ 85935-8064
(928) 367-2199
Mailing address
1845 S PINE LAKE RD, PINETOP, AZ 85935-8064
(928) 367-2199
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
96
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072710
—
AZ
Enumeration date
01/09/2007
Last updated
04/17/2012
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