Organization
EMERGENCY MEDICAL TRANSPORT INC
Active
Other names
American Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH J VASSALLO JR. (VICE PRESIDENT OF BILLING SERVICES)
(602) 437-6620
Entity
Organization
Contact information
Practice address
2495 S INDUSTRIAL PARK AVE, TEMPE, AZ 85282-1804
(602) 437-1431
(602) 437-8436
Mailing address
PO BOX 63724, PHOENIX, AZ 85082-3724
(602) 437-1431
(602) 437-8436
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
75
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894643
—
AZ
01
—
AZ0150760
BCBS
AZ
01
—
P00148210
RR MEDICARE
AZ
Enumeration date
12/28/2005
Last updated
08/15/2008
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