Healthcare Provider Details

I. General information

NPI: 1154324283
Provider Name (Legal Business Name): DREXEL HEIGHTS FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 S CAMINO VERDE
TUCSON AZ
85735-8971
US

IV. Provider business mailing address

5950 S CARDINAL AVE
TUCSON AZ
85746-3710
US

V. Phone/Fax

Practice location:
  • Phone: 520-883-4341
  • Fax: 520-883-3314
Mailing address:
  • Phone: 520-883-4341
  • Fax: 520-883-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number11
License Number StateAZ

VIII. Authorized Official

Name: DOUGLAS E CHAPPELL
Title or Position: FIRE CHIEF
Credential:
Phone: 520-883-4341