MEDICARE: GOLDER RANCH FIRE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	TRN 16-001	AZ

General Provider Information

NPI Number	:	1316484462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDER RANCH FIRE DISTRICT

Provider Business Mailing Address
First Line	:	1600 E HANLEY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-9180
Country	:	US
Telephone Number	:	520-825-9001
Fax Number	:	520-825-5985

Provider Business Practice Location Address
First Line	:	1600 E HANLEY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-9180
Country	:	US
Telephone Number	:	520-825-9001
Fax Number	:	520-825-5985

Authorized Official
Title or Position	:	FINANCE MANAGER
Name	:	DAVID CHRISTIAN
Credential	:	CPA
Telephone Number	:	520-825-9001

Provider Enumeration Date	:	01/27/2017
Last Update Date	:	12/05/2023

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Directions to “GOLDER RANCH FIRE DISTRICT ” Practice Location

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