TIMBER MESA FIRE AND MEDICAL DISTRICT
NPI 1194101808
Ambulance - Land Transport in Lakeside, AZ

Q: What is Timber Mesa Fire And Medical District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since August 04, 2015CLIA 03D1029373 · Waiver

2922 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929(928) 537-5100(928) 368-5643 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Timber Mesa Fire And Medical District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMBER MESA FIRE AND MEDICAL DISTRICT (NPI 1194101808) is a healthcare organization registered as a land transport in Lakeside, Arizona and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Randy Chevalier, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1194101808

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameTIMBER MESA FIRE AND MEDICAL DISTRICT

Location Address2922 W WHITE MOUNTAIN BLVDLakeside, AZ 85929-6152

Mailing Address3561 E Deuce Of ClubsShow Low, AZ 85901-5268 · (928) 537-5100 · Fax (928) 368-5643

Phone(928) 537-5100

Fax(928) 368-5643

Organization SubpartNo

Authorized OfficialRandy ChevalierFire Chief · (928) 537-5100

Enumeration DateAugust 4, 2015

Last NPPES UpdateAugust 30, 2024

NPPES CertifiedAugust 30, 2024

✔ NPI 1194101808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

2922 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929

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Other Identifiers 1

Medicaid093135AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1029373

Timber Mesa Fire & Medical District · Show Low, AZ

Active · expires Aug 15, 2026

CLIA Number03D1029373

Laboratory TypeOther

Certificate Effective DateAugust 16, 2024

Certificate Expiration DateAugust 15, 2026

Laboratory DirectorJeff Farkas

Laboratory Phone(928) 537-5100

Laboratory LocationTimber Mesa Fire & Medical District3561 E Deuce Of Clubs, Show Low, AZ 85901

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

25,855 services785 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

787 services566 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

158 services126 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

151 services134 patients

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426

Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.

64 services63 patients

Advanced life support, level 2 (als 2) A0433

Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.

36 services36 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTOINETTE RUSSELL

Emergency Medical Technician, Paramedic

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929

Navajo County (928) 368-6112

LAKESIDE VOLUNTEER FIRE DEPARTMENT

Ambulance

2922 W WHITE MOUNTAIN BLVD
LAKESIDE, AZ 85929

Navajo County (928) 368-6112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timber Mesa Fire And Medical District's NPI number?

The NPI number for Timber Mesa Fire And Medical District is 1194101808. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Timber Mesa Fire And Medical District located?

Timber Mesa Fire And Medical District is located at 2922 W White Mountain Blvd, Lakeside, AZ 85929. The listed phone number is (928) 537-5100.

What is Timber Mesa Fire And Medical District's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Timber Mesa Fire And Medical District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1029373) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Timber Mesa Fire And Medical District accept?

Health plans from Blue Cross Blue Shield of Arizona list Timber Mesa Fire And Medical District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timber Mesa Fire And Medical District was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.