OrganizationActive
Ponderosa Fire District
NPI 1457631632 · Basic Emergency Medical Technician · Bellemont, AZ
Provider details
- NPI number
- 1457631632
- Entity type
- Organization
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Organization subpart
- No
- Authorized official
- Susa Kelley, Office Administrator(928) 773-8933
Specialties & taxonomies
Emergency Medical Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
11951 W. Shadow Mountain Drive
Bellemont, AZ 86015
Phone: (928) 773-8933
Street-level locationGet directions
Mailing address
Po Box 16359
Bellemont, AZ 86015-6359
Registry dates
- Enumerated
- 2011-08-19
- Last updated
- 2011-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.