Organization Name: | CITY OF BISBEE AMBULANCE |
NPI Number: | 1386638930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVINA CASTILLO (AMBULANCE BILLING TECH) |
Mailing Address: | 118 Arizona St Bisbee |
State: | AZ US |
Postal Code: | 856031800 |
Phone Number: | 5203783276 |
Fax Number: | 5203780227 |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 3416L0300X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |