Organization
CITY OF SURPRISE
Active
Other names
City of Surprise Fire - Treat & Refer, Surprise Fire-Medical Department
Organization subpart
No
Provider details
NPI number
Authorized official
TOM ABBOTT (DIRECTOR)
(623) 222-5000
Entity
Organization
Contact information
Practice address
14250 W STATLER PLZ STE 101, SURPRISE, AZ 85374-7474
(623) 222-5000
Mailing address
DEPT #880156 PO BOX 29650, PHOENIX, AZ 85038-9650
(623) 222-1000
(623) 222-5001
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
TRN: 17-002
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237326
—
AZ
Enumeration date
03/01/2017
Last updated
03/15/2021
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