Organization Active NPI

R M Arizona Holdings Inc

Doing business as Life Line Ambulance

  • Land Ambulance
  • Payson, AZ
National Provider Identifier
1912279472
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
R M ARIZONA HOLDINGS INC
Doing business as
Life Line Ambulance
Payson Medical Transport dba Lifestar EMS
Practice address
816 S Beeline Hwy
Payson, AZ 85541-5409
Phone
(928) 474-2836
Fax
(480) 446-2510
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

816 S Beeline Hwy
Payson, AZ 85541-5409

Mailing address

PO Box 847102
Dallas, TX 75284-7102
Phone (800) 913-9106

Other identifiers 1

IdentifierTypeStateIssuer
708341MedicaidAZ

Other names 2

  • LIFE LINE AMBULANCE Doing business as
  • Payson Medical Transport dba Lifestar EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120702000328 AZ Part B Supplier - Ambulance Service Supplier 2961667647 3 other NPIs on this enrollment
This NPI is an additional NPI on the 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.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2149636R/M Arizona Holdings, Inc816 S Beeline Hwy, Payson, AZ 85541Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
RM Arizona Holdings 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.

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1912279472",
    "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": "816 S BEELINE HWY",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415409",
            "telephone_number": "928-474-2836",
            "fax_number": "480-446-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R M ARIZONA HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "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": "708341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE LINE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payson Medical Transport dba Lifestar EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payson Medical Transport dba Lifestar EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Payson, 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.
  • 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.