ARIZONA AMBULANCE OF DOUGLAS INC; NPI #1205996246

Contact Information

ARIZONA AMBULANCE OF DOUGLAS INC

4266 E INDUSTRY DRIVE
SIERRA VISTA, AZ 85635

Phone: 520-459-4040
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for ARIZONA AMBULANCE OF DOUGLAS INC

NPI # 1205996246

LBN Legal business name ARIZONA AMBULANCE OF DOUGLAS INC

Authorized official EDWARD VAN HORNE - (MANAGING PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/11/2006

Last updated 12/27/2011 - About 14 years ago

Identifiers

AZ	Medicaid	536237-01
AZ	Other	AZ0152110	BCBS
AZ	Other	189840100	DEPT OF LABOR
AZ	Other	590014363	RR MEDICARE
AZ	Other	AZ0000D100066	TRAILBLAZER HEALTH

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ARIZONA AMBULANCE OF DOUGLAS INC

Contact Information

Specialty

Land Transport

NPI Profile & details for ARIZONA AMBULANCE OF DOUGLAS INC

Reviews for ARIZONA AMBULANCE OF DOUGLAS INC