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TOWN OF KEARNY NPI 1407840176


NPI Information

NPI: 1407840176
Provider Name: TOWN OF KEARNY

Doing Business As: KEARNY AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 03D1036808

Address:
375 ALDEN RD
KEARNY, AZ
ZIP 85237
Phone: (520) 363-5566
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TOWN OF KEARNY is a land transport ambulance in Kearny, AZ. TOWN OF KEARNY NPI is 1407840176. The provider is registered as an organization entity type.
The provider Is Doing Business As Kearny Ambulance.

The provider's business location address is:

375 ALDEN RD
KEARNY, AZ
ZIP 85237-900
Phone: (520) 363-5566
Fax: (520) 363-5321

The provider's authorized official is Gary A Eide .
The authorized official title is Town Manager and has the following contact phone number (520) 363-5547.

The CLIA number assigned to this NPI record is 03D1036808 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 6/16/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport23ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1866090079MEDICARE PINARIZONA
2Z866090079MEDICARE PINARIZONA
3070748MEDICAIDARIZONA

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

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