Organization
RIVER MEDICAL INC
Active
Other names
American Medical Response; AMR
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
415 EL CAMINO WAY, LAKE HAVASU CITY, AZ 86403-4628
(928) 855-0048
(928) 855-5419
Mailing address
PO BOX 847102, DALLAS, TX 75284-7102
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
94
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070409
—
AZ
05
—
1316944846
—
CA
05
—
159561
—
OR
Enumeration date
06/30/2005
Last updated
02/19/2026
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