Healthcare Provider Details

I. General information

NPI: 1164612925
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 S VALLEY DR
LAS CRUCES NM
88005-3077
US

IV. Provider business mailing address

PO BOX 56141
LOS ANGELES CA
90074-6141
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-0225
  • Fax:
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