Organization Name: | AJO AMBULANCE INC |
NPI Number: | 1679565642 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARA COYLE (OFFICE MANAGER) |
Mailing Address: | 1850 N Ajo Gila Bnd Hwy Ajo |
State: | AZ US |
Postal Code: | 853211117 |
Phone Number: | 5203875154 |
Fax Number: | 5203876050 |
NPI Enumeration Date: | 08/16/2005 |
NPI Last Update Date: | 10/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |