Provider Demographics
NPI:1457308058
Name:RURAL METRO CORPORATION
Entity Type:Organization
Organization Name:RURAL METRO CORPORATION
Other - Org Name:ARIZONA MEDICAL TRANSPORT/AMT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-703-2294
Mailing Address - Street 1:PO BOX 847102
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7102
Mailing Address - Country:US
Mailing Address - Phone:800-913-9106
Mailing Address - Fax:
Practice Address - Street 1:7631 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-8402
Practice Address - Country:US
Practice Address - Phone:480-380-1258
Practice Address - Fax:480-380-5814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
AZ1093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ5979037OtherAETNA
AZ070318Medicaid
AZAZ0151450OtherBCBS - EMS
AZF02730Medicaid
AZ1Z6655OtherHEALTHNET PIN
AZAZ0152250OtherBCBS - NON EMS
AZ1572002OtherVALUE OPTIONS PIN
AZ1Z6655OtherHEALTHNET PIN
AZ590010569Medicare PIN
AZ=========OtherUNITED HEALTHCARE PIN
AZAZ0152250OtherBCBS - NON EMS
AZZ=========OtherTRICARE
AZF02730Medicaid
AZF02730Medicaid
AZ1572002OtherVALUE OPTIONS PIN
AZ590010569Medicare PIN