MEDICARE: SOUTHWEST AMBULANCE OF TUCSON INC

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	341600000X	Ambulance
2	3416L0300X	Land Ambulance	EMS4057	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205883717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST AMBULANCE OF TUCSON INC

Provider Business Mailing Address
First Line	:	PO BOX 847102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7102
Country	:	US
Telephone Number	:	800-913-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	3759 N COMMERCE DRIVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-6911
Country	:	US
Telephone Number	:	520-544-4800
Fax Number	:	520-622-6660

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	TIMOTHY JOSEPH DORN
Credential	:
Telephone Number	:	833-703-2294

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	09/16/2025

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Directions to “SOUTHWEST AMBULANCE OF TUCSON INC ” Practice Location

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