ARIZONA AMBULANCE OF DOUGLAS INC NPI 1205996246

NPI Information

NPI: 1205996246
Provider Name: ARIZONA AMBULANCE OF DOUGLAS INC

Doing Business As: ARIZONA AMBULANCE TRANSPORTATION

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4266 E INDUSTRY DRIVE
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-4040
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ARIZONA AMBULANCE OF DOUGLAS INC is a land transport ambulance in Sierra Vista, AZ. ARIZONA AMBULANCE OF DOUGLAS INC NPI is 1205996246. The provider is registered as an organization entity type.
The provider Is Doing Business As Arizona Ambulance Transportation.

The provider's business location address is:

4266 E INDUSTRY DRIVE
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-4040

The provider's authorized official is Edward Van Horne .
The authorized official title is Managing Partner and has the following contact phone number (909) 578-9526.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/27/2011.

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	3416L0300X	Ambulance	Land Transport		ARIZONA	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	63626	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA
2	590014363	OTHER	ARIZONA	RR MEDICARE
3	AZ0000D100066	OTHER	ARIZONA	TRAILBLAZER HEALTH
4	536237-01	MEDICAID	ARIZONA
5	189840100	OTHER	ARIZONA	DEPT OF LABOR
6	AZ0152110	OTHER	ARIZONA	BCBS

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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