MEDICARE: DREXEL HEIGHTS 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	3416L0300X	Land Ambulance	11	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	:	1154324283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DREXEL HEIGHTS FIRE DISTRICT

Provider Business Mailing Address
First Line	:	5950 S CARDINAL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85746-3710
Country	:	US
Telephone Number	:	520-883-4341
Fax Number	:	520-883-3314

Provider Business Practice Location Address
First Line	:	5030 S CAMINO VERDE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85735-8971
Country	:	US
Telephone Number	:	520-883-4341
Fax Number	:	520-883-3314

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	DOUGLAS E CHAPPELL
Credential	:
Telephone Number	:	520-883-4341

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/04/2020

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Directions to “DREXEL HEIGHTS FIRE DISTRICT ” Practice Location

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