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BLUE RIDGE FIRE DISTRICT
NPI 1689721367
Ambulance - Land Transport in Happy Jack, AZ

Active since January 04, 2007CLIA 03D1033456 · Waiver
5023 ENCHANTED LANE, HAPPY JACK, AZ 86024(928) 477-2751(928) 477-2765 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Fire District NPPES

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

BLUE RIDGE FIRE DISTRICT (NPI 1689721367) is a healthcare organization registered as a land transport in Happy Jack, Arizona and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists John Earl Banning, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1689721367
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBLUE RIDGE FIRE DISTRICT
Location Address5023 ENCHANTED LANEHappy Jack, AZ 86024
Mailing Address5023 Enchanted LaneHappy Jack, AZ 86024 · (928) 477-2751 · Fax (928) 477-2765
Phone(928) 477-2751
Fax(928) 477-2765
Organization SubpartNo
Authorized OfficialJohn Earl BanningFire Chief · (928) 477-2751
Enumeration DateJanuary 4, 2007
Last NPPES UpdateOctober 20, 2016
✔ NPI 1689721367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in AZ · 128
5023 ENCHANTED LANE, Happy Jack, AZ 86024
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN106049AZ
OtherAZ0922020AZ · Bcbsaz

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 03D1033456

Blue Ridge Fire Department · Happy Jack, AZ
Active · expires Nov 8, 2026
CLIA Number03D1033456
Laboratory TypeOther
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorJohn Banning
Laboratory Phone(928) 477-2751
Laboratory LocationBlue Ridge Fire Department5023 Enchanted Ln, Happy Jack, AZ 86024
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 2

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.
2,078 services36 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.
39 services33 patients

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 Blue Ridge Fire District's NPI number?

The NPI number for Blue Ridge Fire District is 1689721367. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Blue Ridge Fire District located?

Blue Ridge Fire District is located at 5023 Enchanted Lane, Happy Jack, AZ 86024. The listed phone number is (928) 477-2751.

What is Blue Ridge Fire District's specialty?

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

Does Blue Ridge Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1033456) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blue Ridge Fire District accept?

Health plans from Blue Cross Blue Shield of Arizona list Blue Ridge Fire 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 Blue Ridge Fire District was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.