Provider Demographics
NPI:1154324283
Name:DREXEL HEIGHTS FIRE DISTRICT
Entity Type:Organization
Organization Name:DREXEL HEIGHTS FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-883-4341
Mailing Address - Street 1:5950 S CARDINAL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746-3710
Mailing Address - Country:US
Mailing Address - Phone:520-883-4341
Mailing Address - Fax:520-883-3314
Practice Address - Street 1:5030 S CAMINO VERDE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85735-8971
Practice Address - Country:US
Practice Address - Phone:520-883-4341
Practice Address - Fax:520-883-3314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ071241Medicaid
AZAY6279OtherHEALTH NET
AZ071241Medicaid
AZZ0000RFBGPMedicare PIN