Organization
WHITE MOUNTAIN APACHE TRIBE
Active
Organization
WHITE MOUNTAIN APACHE TRIBE
Active
Other names
White Mountain Apache Tribe EMS
Organization subpart
No
Provider details
NPI number
Authorized official
ED BENALLY (EMS DIRECTOR)
(928) 338-3095
Entity
Organization
Contact information
Practice address
103 W. RAINBOW, WHITERIVER, AZ 85941-1210
(928) 338-3095
(928) 338-3097
Mailing address
PO BOX 1210, WHITERIVER, AZ 85941-1210
(928) 338-3095
(928) 338-3097
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071184
—
AZ
Enumeration date
02/07/2007
Last updated
12/09/2013
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