Organization
HOLBROOK EMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM HAWMAN (PRESIDENT/MANAGER)
(928) 524-2190
Entity
Organization
Contact information
Practice address
30 W VISTA DR, HOLBROOK, AZ 86025-1840
(928) 524-2190
(928) 524-1477
Mailing address
30 W VISTA DR, HOLBROOK, AZ 86025-1840
(928) 524-2190
(928) 524-1477
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0151060
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/25/2006
Last updated
01/19/2012
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