Organization
SIERRA VISTA FRY FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JONES CAC (BILLING SUPERVISOR)
(520) 378-3276
Entity
Organization
Contact information
Practice address
4817 S APACHE AVE, SIERRA VISTA, AZ 85650
(520) 378-3276
(520) 378-0227
Mailing address
4817 S APACHE AVE, SIERRA VISTA, AZ 85650-9702
(520) 378-3276
(520) 378-0227
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
18
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071043-001
—
AZ
Enumeration date
03/20/2006
Last updated
04/24/2020
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