Provider Demographics
NPI:1023827581
Name:WESTERN MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:WESTERN MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AMOUREUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-971-7935
Mailing Address - Street 1:PO BOX 31401
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-1401
Mailing Address - Country:US
Mailing Address - Phone:520-971-7935
Mailing Address - Fax:
Practice Address - Street 1:2425 N TUCSON BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2440
Practice Address - Country:US
Practice Address - Phone:520-971-7935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)