R M ARIZONA HOLDINGS INC NPI 1912279472

NPI Information

NPI: 1912279472
Provider Name: R M ARIZONA HOLDINGS INC

Doing Business As: PAYSON MEDICAL TRANSPORT DBA LIFESTAR EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1014 S WESTERLY RD
PAYSON, AZ
ZIP 85541
Phone: (928) 474-2836
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R M ARIZONA HOLDINGS INC is a land transport ambulance in Payson, AZ. R M ARIZONA HOLDINGS INC NPI is 1912279472. The provider is registered as an organization entity type.
The provider Is Doing Business As Payson Medical Transport Dba Lifestar Ems.

The provider's business location address is:

1014 S WESTERLY RD
PAYSON, AZ
ZIP 85541-449
Phone: (928) 474-2836
Fax: (480) 446-2510

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 1/31/2012 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	708341	MEDICAID	ARIZONA
2	P01114125	OTHER	ARIZONA	RR MEDICARE NO

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: 11/14/2023

NPI Synchronization or Removal

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