Organization
TIMBERLINE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LIGE ARMSTRONG (OWNER)
(928) 367-6834
Entity
Organization
Contact information
Practice address
674 E WHITE MOUNTAIN BLVD, PINETOP, AZ 85935
(928) 367-6834
Mailing address
PO BOX 2310, PINETOP, AZ 85935-2310
(928) 367-6834
(928) 367-6838
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
07058139W
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830233
—
AZ
Enumeration date
01/16/2007
Last updated
08/22/2020
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