COPPER CANYON FIRE & MEDICAL DISTRICT
NPI 1861962367
Ambulance in Camp Verde, AZ

Active since November 28, 2018CLIA 03D2136798 · Waiver
494 S MAIN ST, CAMP VERDE, AZ 86322(928) 567-9401(928) 567-3919 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2019, Nov 28, 2018 (2 updates tracked since 2018).

About Copper Canyon Fire & Medical District NPPES

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

COPPER CANYON FIRE & MEDICAL DISTRICT (NPI 1861962367) is a healthcare organization registered as an ambulance in Camp Verde, Arizona and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Terry Keller, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1861962367
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCOPPER CANYON FIRE & MEDICAL DISTRICT
Location Address494 S MAIN STCamp Verde, AZ 86322-7256
Mailing AddressPo Box 1543Camp Verde, AZ 86322-1543 · (928) 567-9401 · Fax (928) 567-3919
Fax(928) 567-3919
Organization SubpartNo
Authorized OfficialTerry KellerFire Chief · (928) 567-9401
Enumeration DateNovember 28, 2018
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
NPI 1861962367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
494 S MAIN ST, Camp Verde, AZ 86322

Accepted 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 03D2136798

Copper Canyon Fire & Medical District · Camp Verde, AZ
Active · expires Sep 14, 2027
CLIA Number03D2136798
Laboratory TypeAmbulance
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorTerry Keller
Laboratory Phone(928) 567-9401
Laboratory LocationCopper Canyon Fire & Medical District26B W Salt Mine Rd, Camp Verde, AZ 86322
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.
7,536 services301 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.
372 services267 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.
59 services50 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 Copper Canyon Fire & Medical District's NPI number?

The NPI number for Copper Canyon Fire & Medical District is 1861962367. It was assigned to this organization in the NPPES registry on November 28, 2018.

Where is Copper Canyon Fire & Medical District located?

Copper Canyon Fire & Medical District is located at 494 S Main St, Camp Verde, AZ 86322. The listed phone number is (928) 567-9401.

What is Copper Canyon Fire & Medical District's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Copper Canyon Fire & Medical District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2136798) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Copper Canyon Fire & Medical District accept?

Health plans from Blue Cross Blue Shield of Arizona list Copper Canyon Fire & 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 Copper Canyon Fire & Medical District was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.