Organization
CAMP VERDE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK BLUM (CFO)
(928) 567-9401
Entity
Organization
Contact information
Practice address
26 B SALT MINE ROAD, CAMP VERDE, AZ 86322
(928) 567-9401
Mailing address
PO BOX 1637, COTTONWOOD, AZ 86326-1637
(928) 634-0665
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
25 EMS 3016
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451542
—
AZ
Enumeration date
02/12/2007
Last updated
11/07/2007
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