Organization
ACTION MEDICAL SERVICE INC
Active
Parent organization
ACTION MEDICAL SERVICE INC
Other names
Action Medical Service - Ganado
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTION MEDICAL SERVICE INC
Authorized official
MRS. CYNTHIA K STEWARD (PRESIDENT)
(928) 289-9229
Entity
Organization
Contact information
Practice address
GANADO PLAZA TRAILER PARK SPACE 1, GANADO, AZ 86505
(928) 755-6195
Mailing address
1200 E SECOND ST, WINSLOW, AZ 86047-4130
(928) 289-9229
(928) 289-2745
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
90
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
436627001
—
AZ
01
—
AZ0151910
BC/BS
AZ
Enumeration date
07/25/2006
Last updated
03/23/2017
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