ROSS N DIA; NPI #1598819377

Contact Information

ROSS N DIA

BONITA DRIVE
FT. DEFIANCE HOSPITAL
FORT DEFIANCE, AZ 86504

Phone: 520-579-8171
Fax: 520-579-3515
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 ROSS N DIA

NPI Number 1598819377

LBN Legal business name ROSS N DIA

Authorized official ROSS DIA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/22/2007

Last updated 10/15/2012 - About 14 years ago

Identifiers

AZ	Medicaid	464199-01
AZ	Other	AZ0152010	BLUE CROSS BLUE SHEILD

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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ROSS N DIA

Contact Information

Specialty

Land Transport

NPI Profile & details for ROSS N DIA

Reviews for ROSS N DIA