Active NPI
R M Arizona Holdings Inc
Doing business as Life Line Ambulance
- Land Ambulance
- Mesa, AZ
National Provider Identifier
1467725911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- R M ARIZONA HOLDINGS INC
- Doing business as
- Life Line Ambulance
Professional Medical Transport Inc dba PMT Ambulance - Practice address
- 617 W Main St
Mesa, AZ 85201-7204 - Phone
- (480) 446-2513
- Fax
- (480) 446-2510
- NPI assigned
- Feb 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
617 W Main St
Mesa, AZ 85201-7204
Mailing address
PO Box 847102
Dallas, TX 75284-7102
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 708404 | Medicaid | AZ |
Other names 2
- LIFE LINE AMBULANCE
- Professional Medical Transport Inc dba PMT Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120702000328 | AZ | Part B Supplier - Ambulance Service Supplier | 2961667647 |
3 other NPIs on this enrollment Practice locations: Mesa, AZ; Payson, AZ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Life Line Ambulance
- Land Ambulance
- Payson, AZ
- NPI 1912279472
O20120702000328
National Provider Directory
National Provider Directory- Tax ID family
- R M Arizona Holdings Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba American Medical Response; AMR
- Land Ambulance
- Lake Havasu City, AZ
- NPI 1053502781
Member Of
Locations
215 W Estate Ln
Payson, AZ 85541
Phone (928) 474-2831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771977600000",
"number": "1467725911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847102",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 W MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852017204",
"telephone_number": "480-446-2513",
"fax_number": "480-446-2510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R M ARIZONA HOLDINGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-14",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "TIERNEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "708404",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LIFE LINE AMBULANCE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Professional Medical Transport Inc dba PMT Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Professional Medical Transport Inc dba PMT Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.