Organization
CITY OF PAGE
Active
Other names
City of Page Fire Department .Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVERETT W THOMAS III (CITY MANAGER)
(402) 572-4019
Entity
Organization
Contact information
Practice address
808 COPPERMINE ROAD, PAGE, AZ 86040-1180
(928) 645-4340
(928) 645-4346
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4017
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083751176
UT MEDICAID
UT
05
—
113192
—
AZ
01
—
590008646
RR MEDICARE
AZ
01
—
AZ 0151600
BLUE CROSS BLUE SHIELD
AZ
01
—
Z128585
MEDICARE
AZ
Enumeration date
01/30/2007
Last updated
04/07/2011
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