Organization
LAKE MOHAVE RANCHOS FIRE DISTRICT
Active
Organization
LAKE MOHAVE RANCHOS FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN REH (SECRETARY)
(928) 767-3300
Entity
Organization
Contact information
Practice address
16126 PIERCE FERRY RD., DOLAN SPRINGS, AZ 86441-0611
(928) 767-3300
(928) 767-3301
Mailing address
PO BOX 611, DOLAN SPRINGS, AZ 86441-0611
(928) 767-3300
(928) 767-3301
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
07447537Z
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166927
AHCCCS PROVIDER NO.
AZ
Enumeration date
06/29/2006
Last updated
01/13/2012
Update your record
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