Action Medical Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

104 Issued in AZ

Legal business name

ACTION MEDICAL SERVICE INC.

Practice address

1200 E Second St
Winslow, AZ 86047-4130

Phone

(928) 289-9229

Fax

(928) 829-6445

NPI assigned

Jun 29, 2005

Last updated

Mar 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia K Steward

Title

President

Phone

(928) 289-9229

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Action Medical Service Inc

  • Land Ambulance
  • Ganado, AZ
  • NPI 1780607515

  O20130228000058

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Action Medical Service Inc2 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.

• Action Medical Service Inc

  • Land Ambulance
  • Ganado, AZ
  • NPI 1780607515
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Action Medical Service Inc

  • Land Ambulance
  • Ganado, AZ
  • NPI 1780607515
  NPPES parent name

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490227200000",
    "number": "1396742912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E SECOND ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860474130",
            "telephone_number": "928-289-9229",
            "fax_number": "928-829-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E SECOND ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860474130",
            "telephone_number": "928-289-9229",
            "fax_number": "928-829-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTION MEDICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2017-03-23",
        "status": "A",
        "authorized_official_last_name": "STEWARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-289-9229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054578",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0151910",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R3158",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elif Duysal Aksoylu, DMD, MPH
• Michelle Alex-Tsosie, RN

• Land Ambulance in Winslow, AZ
• Providers in Winslow, AZ by specialty
• Land Ambulance in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.