Organization
CITY OF NOGALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA EDITH MARES (AMBULANCE BILLING SPECIALIST)
(520) 285-5647
Entity
Organization
Contact information
Practice address
777 N GRAND AVE, NOGALES, AZ 85621-2262
(520) 285-5647
(520) 287-2230
Mailing address
777 N GRAND AVE, NOGALES, AZ 85621-2262
(520) 285-5647
(520) 287-2230
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071994
—
AZ
Enumeration date
06/29/2005
Last updated
08/22/2020
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