OrganizationActive
Medical Firefighter Inc
NPI 1003155474 · Hospitalist Physician · Fort Defiance, AZ
Provider details
- NPI number
- 1003155474
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Grace Hercl, Physician(509) 420-5125
- License
- OP 60046454 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Corner of N12 & N7
Fd 2371 Red Rock Circle
Fort Defiance, AZ 86504
Phone: (509) 420-5125
Fax: (614) 861-5537
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2331
Fort Defiance, AZ 86504-2331
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2016-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.