Organization
R M ARIZONA HOLDINGS INC
Active
Other names
LIFE LINE AMBULANCE, Payson Medical Transport dba Lifestar EMS
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCOTT TIERNEY (EVP, CHIEF FINANCIAL OFFICER)
(833) 703-2294
Entity
Organization
Contact information
Practice address
816 S BEELINE HWY, PAYSON, AZ 85541-5409
(928) 474-2836
(480) 446-2510
Mailing address
PO BOX 847102, DALLAS, TX 75284-7102
(800) 913-9106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708341
—
AZ
Enumeration date
01/31/2012
Last updated
02/25/2026
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