HOLBROOK EMS INC. (NPI# 1780610063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780610063 |
| Entity Type | Organization |
| Organization Name | HOLBROOK EMS INC. |
| Practice Address |
30 W Vista Dr Holbrook AZ 86025-1840 |
| Practice Telephone | 9285242190 |
| Practice Fax Number | 9285241477 |
| Mailing Telephone | 9285242190 |
| Mailing Fax Number | 9285241477 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2012-01-19 |
| Authorized Official Name | TIM HAWMAN (PRESIDENT/MANAGER) |
| Authorized Official Telephone | 9285242190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BLUE CROSS BLUE SHIELD | AZ0151060 | 01 |
| Street Address |
30 W VISTA DR |
| City | HOLBROOK |
| State | AZ |
| Zip Code | 86025-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548505357 | Holbrook Senior Citizens Association | Assisted Living Facility | 216 Joy Nevin Avenue, Holbrook, AZ 86025 | 2012-12-05 |
| 1053660795 | Rainbow Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2425 Navajo Boulevard, Holbrook, AZ 86025 | 2012-09-07 |
| 1467695296 | Community Bridges, Inc | Clinic/Center | 995 Hermosa Drive, Holbrook, AZ 86025 | 2009-04-09 |
| 1932381738 | Valerie Ann Roanhorse | Speech-Language Pathologist | 294 West Carlos, Holbrook, AZ 86025 | 2007-12-04 |
| 1336224195 | Clarence H Hansen | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-10-27 |
| 1538266895 | Janelle Marie Golden | Speech-Language Pathologist | 294 W. Carlos, Special Services Consortium, Holbrook, AZ 86025 | 2006-09-20 |
| 1306960422 | North Country Healthcare, Inc. | Clinic/Center | 2109 Navajo Blvd, Holbrook, AZ 86025 | 2007-03-16 |
| 1881760155 | Jason D Lyman | Dentist | 407 E Iowa, Holbrook, AZ 86025 | 2006-11-28 |
| 1932294543 | Christina Lynn Say | Physical Therapist | 294 W. Carlos, Holbrook, AZ 86025 | 2006-10-03 |
| 1306937297 | Rainbow Accommodation School | Local Education Agency (LEA) | 294 W. Carlos, Holbrook, AZ 86025 | 2006-09-27 |
| Find all providers in zip 86025 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.