SOUTHWEST AMBULANCE OF CASA GRANDE (NPI# 1407030554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407030554 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST AMBULANCE OF CASA GRANDE |
| Other Organization Name | SOUTHWEST AMBULANCE AND RESCUE OF ARIZONA |
| Practice Address |
617 W Main St Mesa AZ 85201-7204 |
| Mailing Address |
9165 E Del Camino Dr Suite 160 Scottsdale AZ 85258-4443 |
| Practice Telephone | 4808047400 |
| Practice Fax Number | 4804462529 |
| Mailing Telephone | 8552492841 |
| Mailing Fax Number | 4806276128 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MR. EDWARD VAN HORNE (PRESIDENT & CEO) |
| Authorized Official Telephone | 6822276078 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST AMBULANCE |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
66 | CA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 101048 | 05 | |
| AZ | TRICARE | ZRMBBH | 01 |
| AZ | RR MEDICARE NO | 590008858 | 01 |
| Other Name | Type Code |
|---|---|
| Southwest Ambulance and Rescue of Arizona | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538116652 | Southwest Ambulance of Casa Grande | Ambulance | 313 W 2nd St Ste B, Casa Grande, AZ 85122-4415 | 2006-05-27 |
| Street Address |
617 W MAIN ST |
| City | MESA |
| State | AZ |
| Zip Code | 85201-7204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851781314 | American Medical Response of Maricopa, LLC | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2015-02-04 |
| 1205109378 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2012-02-20 |
| 1467725911 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2012-02-14 |
| 1740553296 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85210-7204 | 2012-02-14 |
| 1720350291 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85210-7204 | 2012-01-31 |
| 1316992407 | Sw General Inc | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
| 1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
| 1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
| 1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
| 1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
| 1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
| 1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
| 1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
| Find all providers in zip 85201 | ||||
| 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 |
|---|---|---|---|---|
| 1770182552 | Plateau Valley Fire Protection District | Ambulance | 49084 Ke 1/2 Road, Mesa, CO 81643-0210 | 2020-10-22 |
| 1609292689 | Happy Ride Inc | Ambulance | 2713 N 63rd St, Mesa, AZ 85215-3514 | 2014-03-13 |
| 1033462320 | Public Hospital Dist No1 Franklin County | Ambulance | 22210 North Glade Rd 99343, Mesa, WA 99343-0246 | 2012-10-24 |
| 1851781314 | American Medical Response of Maricopa, LLC | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2015-02-04 |
| 1205109378 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85201-7204 | 2012-02-20 |
| 1740553296 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85210-7204 | 2012-02-14 |
| 1720350291 | R M Arizona Holdings Inc | Ambulance | 617 W Main St, Mesa, AZ 85210-7204 | 2012-01-31 |
| 1932412533 | Medical Flight Services, LLC | Ambulance | 4858 E Baseline Rd, Suite 101, Mesa, AZ 85206-4638 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910473 | Buckeye Valley Rural Volunteer Fire District | Ambulance | 25206 W Us Highway 85, Buckeye, AZ 85326-5220 | 2020-07-30 |
| 1124647532 | Tubac Fire District | Ambulance | 2227 E. Frontage Road, Tubac, AZ 85646-2881 | 2020-04-15 |
| 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 | ||||
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| 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.