Organization
BULLHEAD CITY FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SOUTHEY CHIEF (FIRE CHIEF)
(928) 758-3971
Entity
Organization
Contact information
Practice address
1260 HANCOCK RD, BULLHEAD CITY, AZ 86442-5906
(928) 758-3971
(928) 763-3297
Mailing address
1260 HANCOCK RD, BULLHEAD CITY, AZ 86442-5906
(928) 758-3971
(928) 763-3297
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EMS 2767
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003288705
—
NV
05
—
070342
—
AZ
05
—
3288705
—
NV
01
—
AZ0151570
BLUE CROSS/BLUE SHIELD
AZ
01
—
AZBCF-SWT
OTHER INSURANCE PROVIDERS
AZ
05
—
XMT004800
—
CA
Enumeration date
10/03/2006
Last updated
11/23/2009
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