Healthcare Provider Details

I. General information

NPI: 1609101302
Provider Name (Legal Business Name): SONOITA-ELGIN FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3173 N HIGHWAY 83
SONOITA AZ
85637
US

IV. Provider business mailing address

3173 N HIGHWAY 83
SONOITA AZ
85637-0322
US

V. Phone/Fax

Practice location:
  • Phone: 520-455-5854
  • Fax: 520-455-5361
Mailing address:
  • Phone: 520-455-5854
  • Fax: 520-455-5361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number132
License Number StateAZ

VIII. Authorized Official

Name: MR. MARC MEREDITH
Title or Position: FIRE CHIEF
Credential:
Phone: 520-455-5854