Home » Arizona » 85356 » Tri Valley Ambulance Service Inc

Tri Valley Ambulance Service Inc

Tri Valley Ambulance Service Inc is a health care provider in Wellton, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 29118 Los Angeles Ave, Wellton, AZ 85356, US
Practice Location Phone928-785-9019
Practice Location Fax928-785-3624
Legal Business NameTRI VALLEY AMBULANCE SERVICE INC
NPI ?1982757282
Entity TypeOrganization
Enumeration Date ? Jan 19, 2007
Last Update Date ? Jun 3, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Tri Valley Ambulance Service Inc

SpecialtySpecializationLicenseLicense State
AmbulanceLand Transport Arizona

legacy-id-icon Legacy Provider IDs of Tri Valley Ambulance Service Inc

Provider IdIssuer StateIssuer TypeIssuer
070805ArizonaOtherAHCCCS
070805-001ArizonaOtherMERCY CARE

official-icon Authorized Official of Tri Valley Ambulance Service Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Tri Valley Ambulance Service Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Gerard A Masse (CEP)
Authorized Official Title/PositionDIRECTOR OF OPERATIONS
Authorized Official Phone Number928-785-9019