Organization
HUALAPAI TRIBE
Active
Other names
Peach Springs EMS Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
DEEDRA JEAN TAYLOR (PROGRAM MANAGER)
(928) 769-2656
Entity
Organization
Contact information
Practice address
921 HUALAPAI WAY, PEACH SPRINGS, AZ 86434
(928) 769-2656
(928) 769-2315
Mailing address
PO BOX 542, PEACH SPRINGS, AZ 86434-0542
(928) 769-2656
(928) 769-2315
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146523
—
AZ
Enumeration date
05/17/2007
Last updated
07/07/2008
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