MEDICARE: CJ HEILEMAN & ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1538891056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CJ HEILEMAN & ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	8826 E ARBOR ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1347
Country	:	US
Telephone Number	:	520-551-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 E SPEEDWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-1819
Country	:	US
Telephone Number	:	520-551-8309
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. AARON ALEXANDER TILLY
Credential	:
Telephone Number	:	520-551-8309

Provider Enumeration Date	:	06/24/2022
Last Update Date	:	06/24/2022

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