SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC NPI 1891742417

NPI Information

NPI: 1891742417
Provider Name: SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC

Doing Business As: SOUTHWEST AMBULANCE OF SAFFORD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
209 W 9TH ST
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-9860
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SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC is a land transport ambulance in Safford, AZ. SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC NPI is 1891742417. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwest Ambulance Of Safford.

The provider's business location address is:

209 W 9TH ST
SAFFORD, AZ
ZIP 85546-450
Phone: (928) 428-9860
Fax: (928) 348-9932

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (833) 703-2294.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 2/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance				No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	158445	MEDICAID	ARIZONA
2	P01273233	OTHER	ARIZONA	RAILROAD MEDICARE PTAN
3	8144555	OTHER	ARIZONA	AETNA
4	VALUE OPTIONS	OTHER	ARIZONA	2189001
5	AW3433	OTHER	ARIZONA	HEALTHNET PIN
6	AZ0152410	OTHER	ARIZONA	BCBS
7	F11204	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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