Organization
CITY OF BISBEE
Active
Other names
Bisbee Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ANTHONY CASTILLO (DIRECTOR)
(520) 432-4110
Entity
Organization
Contact information
Practice address
192 HWY 92, BISBEE, AZ 85603
(520) 432-4110
(520) 432-2594
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073255
—
AZ
01
—
631335700
DOL
AZ
01
—
AZ0151300
BCBS
AZ
Enumeration date
07/28/2006
Last updated
11/24/2020
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