Organization
TRI CITY FIRE DISTRICT/AMBULANCE
Active
Other names
Tri City Fire District Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CARMEN GRAINGER (FIRE CHIEF)
(928) 425-0815
Entity
Organization
Contact information
Practice address
4280 E BROADWAY, CLAYPOOL, AZ 85532
(928) 473-2362
(928) 473-2991
Mailing address
PO BOX 63068, PHOENIX, AZ 85082-3068
(602) 437-1431
(602) 437-8436
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
126
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
748717
—
AZ
01
—
AZ0151790
BCBS
AZ
01
—
P00033704
RR MEDICARE
AZ
Enumeration date
12/28/2005
Last updated
04/10/2026
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