Organization
AJO AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA COYLE (OFFICE MANAGER)
(520) 387-5154
Entity
Organization
Contact information
Practice address
1850 N AJO GILA BND HWY, AJO, AZ 85321-1117
(520) 387-5154
(520) 387-6050
Mailing address
1850 N AJO GILA BEND HWY, AJO, AZ 85321-1117
(520) 387-5154
(520) 387-6050
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
101
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008955
—
AZ
01
—
AZ0151350
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/16/2005
Last updated
10/05/2012
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