Arizona Ambulance of Douglas Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ARIZONA AMBULANCE OF DOUGLAS INC

Doing business as

Arizona Ambulance Transportation

Practice address

4266 E Industry Drive
Sierra Vista, AZ 85635

Phone

(520) 459-4040

NPI assigned

Dec 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Van Horne

Title

Managing Partner

Phone

(909) 578-9526

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Arizona Ambulance Transportation Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1205996246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856361988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 E INDUSTRY DRIVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-459-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA AMBULANCE OF DOUGLAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "VAN HORNE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "909-578-9526"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590014363",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0152110",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "189840100",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "536237-01",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER HEALTH",
            "identifier": "AZ0000D100066",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Ambulance Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jesus M Arballo, FNP-BC
• Brandy Arellano, CNM
• Sherri Arenas, LPC
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• Arizona CVS Stores LLC (CVS Pharmacy 08828)
• Arizona Dental Professionals, P.C. (Dental Village - Sierra Vista)
• Arizona Family Care Associates Imaging LLC
• Arizona Family Care Associates Urgent Care Clinic, LLC
• Arizona Family Care Associates Urgent Care Clinic, LLC

• Land Ambulance in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.