OrganizationActive
Level 4 Medical Professional Corporation
NPI 1023041654 · Basic Emergency Medical Technician · Yuma, AZ
Provider details
- NPI number
- 1023041654
- Entity type
- Organization
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Organization subpart
- No
- Authorized official
- David Smock, Medical Director(928) 345-2150
- License
- OTC2699 (AZ)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
11274 S Fortuna Rd
Ste I 4
Yuma, AZ 85367-7847
Phone: (928) 345-2150
Fax: (928) 345-2151
Approximate (ZIP-level) locationGet directions
Mailing address
11274 S Fortuna Rd
Yuma, AZ 85367-7847
Other names (DBA / former)
- Doing business as
- Foothills Walk-In Medical and Urgent Care
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2017-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.