Organization
CITY OF BISBEE AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVINA CASTILLO (AMBULANCE BILLING TECH)
(520) 378-3276
Entity
Organization
Contact information
Practice address
118 ARIZONA ST, BISBEE, AZ 85603-1800
(520) 378-3276
(520) 378-0227
Mailing address
118 ARIZONA ST, BISBEE, AZ 85603-1800
(520) 378-3276
(520) 378-0227
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3416L0300X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073255
—
AZ
01
—
241619800
DEPT OF LABOR
AZ
01
—
590005827
RR MEDICARE
AZ
01
—
AZ0151300
BCBS
AZ
Enumeration date
09/08/2005
Last updated
08/22/2020
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