MEDICARE: ELOY 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	341600000X	Ambulance	13	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093707242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELOY FIRE DISTRICT

Provider Business Mailing Address
First Line	:	4010 N TOLTEC RD
Second Line	:
City	:	ELOY
State	:	AZ
Zip	:	85131-1400
Country	:	US
Telephone Number	:	520-466-3544
Fax Number	:	520-466-3095

Provider Business Practice Location Address
First Line	:	500 S SUNSHINE BLVD
Second Line	:
City	:	ELOY
State	:	AZ
Zip	:	85131-2420
Country	:	US
Telephone Number	:	520-466-3544
Fax Number	:	520-466-3095

Authorized Official
Title or Position	:	DEPUTY CHIEF
Name	:	COY AMERSON
Credential	:
Telephone Number	:	520-466-3544

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	03/11/2010

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Directions to “ELOY FIRE DISTRICT ” Practice Location

Language	Start Address	Practice Location

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