Organization
MARICOPA AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JEWELL (CHIEF REVENUE INTEGRATION OFFICER)
(844) 597-4911
Entity
Organization
Contact information
Practice address
10234 N 19TH AVE, PHOENIX, AZ 85021-1931
(480) 485-1800
Mailing address
PO BOX 660030, DALLAS, TX 75266-0030
(844) 597-4911
(866) 687-2796
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210198
—
AZ
Enumeration date
07/27/2016
Last updated
08/09/2023
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