Organization Name: | CITY OF SAN LUIS ARIZONA |
NPI Number: | 1811360365 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY DOUGLAS GREEN (FIRE CHIEF) |
Mailing Address: | 1165 North Mccain Avenue San Luis |
State: | AZ US |
Postal Code: | 853490445 |
Phone Number: | 9283418550 |
Fax Number: | 9286271426 |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |