institution
Sacred Mountain Medical Service
Land Ambulance in Tuba City, Arizona
NPI 1871739755

Sacred Mountain Medical Service is a Land Ambulance based in Tuba City, AZ and is specialized in Land Transport. Sacred Mountain Medical Service practices in Tuba City, AZ. The NPI Number for Sacred Mountain Medical Service is 1871739755 and holds a License No. 127 (Arizona).

The current practice location address for Sacred Mountain Medical Service is 100 Moenave Road, Tuba City, AZ and can be reached out via phone at 928-283-8243 and via fax at 928-283-8237. You can also correspond with Sacred Mountain Medical Service through the mailing address at PO BOX 2290, TUBA CITY, AZ - 86045-2290 (mailing address contact number: 928-283-8243).

Location: 100 Moenave Road, Tuba City, AZ, 86045-2290
institution
Provider Profile Details
NPI Number
1871739755
Provider Name
Sacred Mountain Medical Service
Credential
Provider Entity Type
Organization
Address
100 Moenave Road, Tuba City, AZ, 86045-2290
Phone Number
928-283-8243
Fax Number
928-283-8237
Provider Enumeration Date
12/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40953866 05 NM
XMTEO6557 05 CA
717077 05 AZ
AZ0152480 01 AZ BLUE CROSS BLUE SHIELD
02876271 05 MS
830384848001 05 UT
institution
Provider Business Practice Location Address Details
Address
100 Moenave Road
City
State
Zip
86045
Phone Number
928-283-8243
Fax Number
928-283-8237
person
Provider Business Mailing Address Details
Address
Po Box 2290
City
State
Zip
86045-2290
Phone Number
928-283-8243
Fax Number
928-283-8237
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
127 (Arizona)
Definition
Definition to come...
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