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VERDE VALLEY MEDICAL CENTER NPI 1972789667


NPI Information

NPI: 1972789667
Provider Name: VERDE VALLEY MEDICAL CENTER

Doing Business As: VVMC GUARDIAN AIR

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
269 S CANDY LN
COTTONWOOD, AZ
ZIP 86326
Phone: (928) 779-2546
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VERDE VALLEY MEDICAL CENTER is an air transport ambulance in Cottonwood, AZ. VERDE VALLEY MEDICAL CENTER NPI is 1972789667. The provider is registered as an organization entity type.
The provider Is Doing Business As Vvmc Guardian Air.

The provider's business location address is:

269 S CANDY LN
COTTONWOOD, AZ
ZIP 86326-158
Phone: (928) 779-2546
Fax: (928) 213-6292

The provider's authorized official is Ronald F Haase .
The authorized official title is Nah Chief Systems Officer and has the following contact phone number (928) 773-2059.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 4/15/2019.


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
13416A0800XAmbulanceAir TransportNo
23416A0800XAmbulanceAir TransportARIZONAYes

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
1XMTA05974MEDICAIDARIZONA
2P0152150OTHERARIZONABCBS
3P0152150OTHERARIZONABCBS SECONDARY
4804816MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.