Old Pueblo Medical Tranportation, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

OLD PUEBLO MEDICAL TRANPORTATION, INC.

Doing business as

Old Pueblo EMS
Old Pueblo Emergency Medical Services

Practice address

3865 N Business Center Dr Ste 109
Tucson, AZ 85705-4953

Phone

(469) 636-5055

NPI assigned

Mar 28, 2024

Last updated

Nov 12, 2024By 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

Tangina Maloof

Title

Treasurer

Phone

(469) 636-5055

Specialties & licenses 4

Addresses

Other names 2

• Old Pueblo EMS Doing business as
• Old Pueblo Emergency Medical Services Doing business as

Locations

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1851142707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 N BUSINESS CENTER DR STE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 N BUSINESS CENTER DR STE 109",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054953",
            "telephone_number": "469-636-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD PUEBLO MEDICAL TRANPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "TANGINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "469-636-5055"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Pueblo EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Old Pueblo Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Old Pueblo Community Services
• Old Pueblo Community Services
• Old Pueblo Counseling, Incorporated
• Old Pueblo Dermatology LTD
• Old Pueblo Healthcare LLC (Optima Medical)
• Old Pueblo Mobile Medicine LLC
• Old Pueblo Pediatrics
• Old Pueblo Plastic Surgery, P.C.
• Old Pueblo Transitional Care Partners LLC (Old Pueblo Specialty Group)
• Old Pueblo Urology,LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.