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Organization

TRI-VALLEY AMBULANCE SERVICE, INC.

Active
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Organization

TRI-VALLEY AMBULANCE SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD CHRISTIAN NIX (E.M.S. CHIEF)
(928) 271-2211
Entity
Organization

Contact information

Practice address
29118 E LOS ANGELES AVE, WELLTON, AZ 85356
(928) 785-9019
(928) 785-3624
Mailing address
PO BOX 958, WELLTON, AZ 85356-0958
(928) 785-9019
(928) 785-3624

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070805
AHCCCS
AZ
01
070805-001
MERCY CARE
AZ
Enumeration date
01/19/2007
Last updated
06/24/2026
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