Southwest Ambulance of Southeastern Arizona Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC

Practice address

209 W 9TH St
Safford, AZ 85546-2450

Phone

(928) 428-9860

Fax

(928) 348-9932

NPI assigned

May 28, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 3

• American Medical Response; AMR Doing business as
• Life Line Ambulance Doing business as
• Southwest Ambulance of Safford Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Rural Metro Corporation

  • Land Ambulance
  • Lake Havasu City, AZ
  • NPI 1053502781

  Member Of

  NPD member
• Southwest Ambulance of Casa Grande, Inc.

  • Land Ambulance
  • Casa Grande, AZ
  • NPI 1538116652

  Member Of

  NPD member

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1891742417",
    "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": "209 W 9TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462450",
            "telephone_number": "928-428-9860",
            "fax_number": "928-348-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST AMBULANCE OF SOUTHEASTERN ARIZONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "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": "158445",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response; AMR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Line Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Ambulance of Safford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest Ambulance of Safford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Lot Smith, DDS
• Rebecca Jayne Smith, FNP-C
• Kayla Soohy, LCSW
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Consumer-Run Services
• Southwestern Eye Center LTD
• Southwestern Eye Center LTD
• Gregg Phillips Standage, M.D.
• David Edwin Stetson, PHD, PSYCHOL
• Dallin Stevens, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.