Organization
1ST MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED SALIH (OPERATIONS COORDINATOR)
(602) 348-9783
Entity
Organization
Contact information
Practice address
2953 E HACKAMORE ST, MESA, AZ 85213-5597
(602) 348-9783
(480) 966-0549
Mailing address
2953 E HACKAMORE ST, MESA, AZ 85213-5597
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
381918
AHCCCS
AZ
Enumeration date
10/13/2009
Last updated
10/13/2009
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