Healthcare Provider Details

I. General information

NPI: 1851781314
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE OF MARICOPA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 W MAIN ST
MESA AZ
85201-7204
US

IV. Provider business mailing address

PO BOX 847102
DALLAS TX
75284-7102
US

V. Phone/Fax

Practice location:
  • Phone: 480-446-2531
  • Fax: 480-257-1209
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SCOTT TIERNEY
Title or Position: EVP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 833-703-2294