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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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