Organization
OLD PUEBLO MEDICAL TRANPORTATION, INC.
Active
Other names
Old Pueblo EMS, Old Pueblo Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
TANGINA MALOOF (TREASURER)
(469) 636-5055
Entity
Organization
Contact information
Practice address
3865 N BUSINESS CENTER DR STE 109, TUCSON, AZ 85705-4953
(469) 636-5055
Mailing address
3865 N BUSINESS CENTER DR STE 109, TUCSON, AZ 85705-4953
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
03/28/2024
Last updated
11/12/2024
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