NPIMap

Organization Active NPI

Timberline Medical

  • Non-emergency Medical Transport (VAN)
  • Pinetop, AZ
National Provider Identifier
1245381185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
07058139W Issued in AZ
Legal business name
TIMBERLINE MEDICAL
Practice address
674 E White Mountain Blvd
Pinetop, AZ 85935
Phone
(928) 367-6834
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jerry Lige Armstrong
Title
Owner
Phone
(928) 367-6834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 07058139W AZ Primary

Addresses

Primary practice location

674 E White Mountain Blvd
Pinetop, AZ 85935

Mailing address

PO Box 2310
Pinetop, AZ 85935-2310
Phone (928) 367-6834

Other identifiers 1

IdentifierTypeStateIssuer
830233MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Timberline Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245381185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2310",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "859352310",
            "telephone_number": "928-367-6834",
            "fax_number": "928-367-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 E WHITE MOUNTAIN BLVD",
            "city": "PINETOP",
            "state": "AZ",
            "postal_code": "85935",
            "telephone_number": "928-367-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-367-6834"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "07058139W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "830233",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinetop, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.