Organization
MAYER FIRE DISTRICT
Active
Other names
Mayer Fire District Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE OWEN (OFFICE MANAGER)
(928) 632-9534
Entity
Organization
Contact information
Practice address
11975 S. HWY 69, MAYER, AZ 86333-0340
(928) 632-9534
(928) 632-7463
Mailing address
PO BOX 340, MAYER, AZ 86333-0340
(928) 632-9534
(928) 632-7463
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CON # 117 / EMS 2900
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311621
—
AZ
Enumeration date
04/21/2006
Last updated
04/30/2010
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