Organization
VERDE VALLEY AMBULANCE CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS LONGFELLOW (OPERATIONS MANAGER)
(928) 634-7750
Entity
Organization
Contact information
Practice address
345 E MINGUS AVE, COTTONWOOD, AZ 86326-3670
(928) 634-7750
Mailing address
PO BOX 1477, COTTONWOOD, AZ 86326-1477
(928) 634-7750
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CON49
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070061
—
AZ
Enumeration date
08/24/2006
Last updated
04/20/2008
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