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CENTRAL ARIZONA FIRE AND MEDICAL AUTHORITY
NPI 1780426411
Ambulance - Land Transport in Prescott Valley, AZ

Active since June 12, 2024CLIA 03D2200593 · Waiver
8603 E EASTRIDGE RD, PRESCOTT VALLEY, AZ 86314(928) 772-7711(928) 772-8800 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Arizona Fire And Medical Authority NPPES

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

CENTRAL ARIZONA FIRE AND MEDICAL AUTHORITY (NPI 1780426411) is a healthcare organization registered as a land transport in Prescott Valley, Arizona and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Lee Barnes, Assistant Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1780426411
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCENTRAL ARIZONA FIRE AND MEDICAL AUTHORITY
Location Address8603 E EASTRIDGE RDPrescott Valley, AZ 86314-8562
Mailing Address8603 E Eastridge RdPrescott Valley, AZ 86314-8562 · (928) 772-7711 · Fax (928) 772-8800
Phone(928) 772-7711
Fax(928) 772-8800
Organization SubpartNo
Authorized OfficialLee BarnesAssistant Fire Chief · (928) 772-7711
Enumeration DateJune 12, 2024
NPPES CertifiedJune 12, 2024
✔ NPI 1780426411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
8603 E EASTRIDGE RD, Prescott Valley, AZ 86314
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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 03D2200593

Central Arizona Fire And Medical Authority · Prescott Valley, AZ
Active · expires Nov 15, 2026
CLIA Number03D2200593
Laboratory TypePractitioner Other
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDoug T. Niemynski
Laboratory Phone(928) 772-7711
Laboratory LocationCentral Arizona Fire And Medical Authority9601 E Valley Road Bldg G, Prescott Valley, AZ 86314
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
1,353 services116 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.
102 services92 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.
26 services26 patients

Other Providers at the Same Location NPPES 4

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

CRYSTAL MARIE MAKINSON
Case Manager/Care Coordinator
8603 E EASTRIDGE RD, SUITE A
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-3280
MS. MICHELLE RENE WALBLAY M.ED.
Counselor
8603 E EASTRIDGE RD, SUITE A
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-3260
SEQUELCARE OF ARIZONA, LLC
Behavior Analyst
8603 E EASTRIDGE RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-3280
RAYMOND LEE SIMMONS
Behavior Analyst
8603 E EASTRIDGE RD
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 777-3280

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 Central Arizona Fire And Medical Authority's NPI number?

The NPI number for Central Arizona Fire And Medical Authority is 1780426411. It was assigned to this organization in the NPPES registry on June 12, 2024.

Where is Central Arizona Fire And Medical Authority located?

Central Arizona Fire And Medical Authority is located at 8603 E Eastridge Rd, Prescott Valley, AZ 86314. The listed phone number is (928) 772-7711.

What is Central Arizona Fire And Medical Authority's specialty?

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

Does Central Arizona Fire And Medical Authority hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2200593) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Arizona Fire And Medical Authority was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.