ARIZONA AMBULANCE OF DOUGLAS INC (NPI# 1205996246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205996246 |
| Entity Type | Organization |
| Organization Name | ARIZONA AMBULANCE OF DOUGLAS INC |
| Other Organization Name | ARIZONA AMBULANCE TRANSPORTATION |
| Practice Address |
4266 E Industry Drive Sierra Vista AZ 85635 |
| Mailing Address |
Po Box 1988 Sierra Vista AZ 85636-1988 |
| Practice Telephone | 5204594040 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-12-27 |
| Authorized Official Name | EDWARD VAN HORNE (MANAGING PARTNER) |
| Authorized Official Telephone | 9095789526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
AZ | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRAILBLAZER HEALTH | AZ0000D100066 | 01 |
| AZ | BCBS | AZ0152110 | 01 |
| AZ | 536237-01 | 05 | |
| AZ | DEPT OF LABOR | 189840100 | 01 |
| AZ | RR MEDICARE | 590014363 | 01 |
| Other Name | Type Code |
|---|---|
| Arizona Ambulance Transportation | Doing Business As Name - Organization |
| Street Address |
4266 E INDUSTRY DRIVE |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679532535 | Sierra Vista Fry Fire District | Ambulance | 4817 S Apache Ave, Sierra Vista, AZ 85650 | 2006-03-20 |
| 1689285629 | Sierra Vista Fry Fire District | Ambulance | 4817 S Apache Ave, Sierra Vista, AZ 85650-9702 | 2020-08-13 |
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| 1952910473 | Buckeye Valley Rural Volunteer Fire District | Ambulance | 25206 W Us Highway 85, Buckeye, AZ 85326-5220 | 2020-07-30 |
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| 1992277727 | Rio Rico Fire District | Ambulance | 822 Pendleton Dr, Rio Rico, AZ 85648-3254 | 2018-12-18 |
| 1558832865 | Bouse Volunteer Fire District | Ambulance | 27716 Frame Avenue, Bouse, AZ 85325 | 2018-12-13 |
| 1750811063 | City of Tempe | Ambulance | 1400 E Apache Blvd, Tempe, AZ 85281-5921 | 2017-06-19 |
| 1437697422 | Pleasant Valley Fire District | Ambulance | Highway 288, Young, AZ 85554-0303 | 2017-02-09 |
| 1932652815 | Maricopa Ambulance, LLC | Ambulance | 23200 N Pima Rd, Suite 210, Scottsdale, AZ 85255-4388 | 2016-07-27 |
| 1891152567 | White Mountain Apache Tribe Fire and Rescue | Ambulance | 612 S. Chief Ave, Whiteriver, AZ 85941 | 2016-01-26 |
| 1811360365 | City of San Luis Arizona | Ambulance | 1165 North Mccain Avenue, San Luis, AZ 85349-0445 | 2015-11-05 |
| 1790167609 | Abbo Trans LLC | Ambulance | 6444 N 67th Ave Apt 2108, Glendale, AZ 85301-4385 | 2015-06-26 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
Please comment or provide details below to improve the information on ARIZONA AMBULANCE OF DOUGLAS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.