MARICOPA AMBULANCE LLC NPI 1932652815

NPI Information

NPI: 1932652815
Provider Name: MARICOPA AMBULANCE, LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 03D2119521

Address:
10234 N 19TH AVE
PHOENIX, AZ
ZIP 85021
Phone: (480) 485-1800
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MARICOPA AMBULANCE, LLC is a land transport ambulance in Phoenix, AZ. MARICOPA AMBULANCE, LLC NPI is 1932652815. The provider is registered as an organization entity type.

The provider's business location address is:

10234 N 19TH AVE
PHOENIX, AZ
ZIP 85021-931
Phone: (480) 485-1800

The provider's authorized official is Robert Jewell .
The authorized official title is Chief Revenue Integration Officer and has the following contact phone number (844) 597-4911.

The CLIA number assigned to this NPI record is 03D2119521 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2016 and was last updated on 8/9/2023.

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			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	210198	MEDICAID	ARIZONA

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: 5/5/2024

NPI Synchronization or Removal

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