Organization
YUMA MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON KIMBALL HUGGANS (OWNER)
(480) 228-7508
Entity
Organization
Contact information
Practice address
281 W 24TH ST STE 139, YUMA, AZ 85364-8500
(928) 920-4935
(928) 433-0087
Mailing address
PO BOX 4003, YUMA, AZ 85366-2405
(928) 920-4935
(928) 433-0087
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078330
—
AZ
Enumeration date
08/18/2017
Last updated
08/18/2017
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