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NPI Code Detail

MEDICARE: MEDICWEST AMBULANCE, INC

MEDICARE: MEDICWEST AMBULANCE, 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
13416L0300XLand Ambulance1000001-035NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC0808OTHERNVBCBS

General Provider Information

NPI Number : 1962439026
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICWEST AMBULANCE, INC
Provider Business Mailing Address
First Line : PO BOX 61804
Second Line :
City : PHOENIX
State : AZ
Zip : 85082-1804
Country : US
Telephone Number : 602-437-1431
Fax Number :
Provider Business Practice Location Address
First Line : 9 W DELHI AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7836
Country : US
Telephone Number : 602-437-1431
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT OF BILLING
Name : MR. GARY L RAMSEY
Credential :
Telephone Number : 602-437-6620
Provider Enumeration Date : 06/26/2006
Last Update Date : 02/01/2008

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Directions to “MEDICWEST AMBULANCE, INC ” Practice Location

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