Provider Demographics
NPI:1477979276
Name:CITY OF MESA
Entity Type:Organization
Organization Name:CITY OF MESA
Other - Org Name:MESA FIRE AND MEDICAL DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. AUDITOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-644-2101
Mailing Address - Street 1:13 W 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-6613
Mailing Address - Country:US
Mailing Address - Phone:480-644-2101
Mailing Address - Fax:
Practice Address - Street 1:13 W 1ST ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85201-6613
Practice Address - Country:US
Practice Address - Phone:480-644-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251K00000X, 251S00000X
AZ341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health