Provider Demographics
NPI:1053534131
Name:TONTO BASIN FIRE DISTRICT
Entity type:Organization
Organization Name:TONTO BASIN FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOLT
Authorized Official - Suffix:
Authorized Official - Credentials:CEP
Authorized Official - Phone:928-479-2203
Mailing Address - Street 1:PO BOX 48
Mailing Address - Street 2:
Mailing Address - City:TONTO BASIN
Mailing Address - State:AZ
Mailing Address - Zip Code:85553-0048
Mailing Address - Country:US
Mailing Address - Phone:928-479-2203
Mailing Address - Fax:928-479-2102
Practice Address - Street 1:373 S OLD HWY 188
Practice Address - Street 2:
Practice Address - City:TONTO BASIN
Practice Address - State:AZ
Practice Address - Zip Code:85553-0048
Practice Address - Country:US
Practice Address - Phone:928-479-2203
Practice Address - Fax:928-479-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCONAZ1123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
318007OtherPACIFICARE
AZ0151500OtherBCBS
AZ0500641OtherHEALTHNET
AZ173782Medicaid
318007OtherPACIFICARE