MEDICARE: RINCON VALLEY 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	92	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	:	1982697728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RINCON VALLEY FIRE DISTRICT

Provider Business Mailing Address
First Line	:	14550 E SANDS RANCH RD
Second Line	:
City	:	VAIL
State	:	AZ
Zip	:	85641-8862
Country	:	US
Telephone Number	:	520-647-3760
Fax Number	:	520-647-7102

Provider Business Practice Location Address
First Line	:	14550 E SANDS RANCH RD
Second Line	:
City	:	VAIL
State	:	AZ
Zip	:	85641-8862
Country	:	US
Telephone Number	:	520-647-3760
Fax Number	:	520-647-7102

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	KAREN LUNDBERG
Credential	:
Telephone Number	:	520-647-3760

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	03/16/2009

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Directions to “RINCON VALLEY FIRE DISTRICT ” Practice Location

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