Organization
CITY OF PHOENIX ARIZONA
Active
Other names
City of Phoenix ETS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA WAYNE (MEDICAL BILLING SUPERVISOR)
(602) 534-4627
Entity
Organization
Contact information
Practice address
150 S 12TH ST, PHOENIX, AZ 85034-2301
(602) 261-8414
(602) 534-4827
Mailing address
PO BOX 29102, PHOENIX, AZ 85038-9102
(602) 261-8414
(602) 534-4827
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
EMS2836
AZ
146N00000X
Basic Emergency Medical Technician
EMS2836
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B10858
—
AZ
01
—
RR9786
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
06/20/2014
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