Organization
MEDICWEST AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
4700 MITCHELL ST, NORTH LAS VEGAS, NV 89081-2707
(702) 650-9900
(702) 650-3300
Mailing address
PO BOX 745774, LOS ANGELES, CA 90074-5774
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003006180
—
CA
05
—
1003006180
—
NV
05
—
15135039
—
CO
05
—
891334
—
AZ
Enumeration date
07/26/2007
Last updated
03/19/2026
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