NPI 1922079458 · live from the CMS NPI Registry
Puerco Valley Ambulance
Ambulance, Land Transport in Sanders, AZ. National Provider Identifier 1922079458, active.
NPI record
| NPI | 1922079458 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 105 S Hwy 191, Sanders, AZ 86512 |
| Practice phone | 928-688-3616 |
| Mailing address | Po Box 39, Sanders, AZ 86512 |
| Enumerated | February 1, 2006 |
| Last updated | June 18, 2024 |
| Authorized official | Tami Wood, Assistant Admin Chief |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 116 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.