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HOLBROOK EMS INC.
NPI 1780610063
Ambulance - Land Transport in Holbrook, AZ

Active since June 25, 2006CLIA 03D1029374 · Waiver
30 W VISTA DR, HOLBROOK, AZ 86025(928) 524-2190(928) 524-1477 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holbrook Ems Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLBROOK EMS INC. (NPI 1780610063) is a healthcare organization registered as a land transport in Holbrook, Arizona and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Tim Hawman, President/manager, as its authorized official.

NPPES Registry Identity

NPI1780610063
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameHOLBROOK EMS INC.
Location Address30 W VISTA DRHolbrook, AZ 86025-1840
Mailing Address30 W Vista DrHolbrook, AZ 86025-1840 · (928) 524-2190 · Fax (928) 524-1477
Phone(928) 524-2190
Fax(928) 524-1477
Organization SubpartNo
Authorized OfficialTim HawmanPresident/manager · (928) 524-2190
Enumeration DateJune 25, 2006
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1780610063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
30 W VISTA DR, Holbrook, AZ 86025
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedZ=========AZ
Medicare ID-Type Unspecified590005381Railroad
OtherAZ0151060AZ · Blue Cross Blue Shield
Medicare ID-Type Unspecified071837AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D1029374

Holbrook Ems, Inc · Holbrook, AZ
Active · expires Aug 15, 2026
CLIA Number03D1029374
Laboratory TypeAmbulance
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorTim Hawman
Laboratory Phone(928) 524-2190
Laboratory LocationHolbrook Ems, Inc30 W Vista Drive, Holbrook, AZ 86025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
5,135 services92 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
98 services68 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
40 services28 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holbrook Ems Inc.'s NPI number?

The NPI number for Holbrook Ems Inc. is 1780610063. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Holbrook Ems Inc. located?

Holbrook Ems Inc. is located at 30 W Vista Dr, Holbrook, AZ 86025. The listed phone number is (928) 524-2190.

What is Holbrook Ems Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Holbrook Ems Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D1029374) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holbrook Ems Inc. accept?

Health plans from Blue Cross Blue Shield of Arizona list Holbrook Ems Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holbrook Ems Inc. was last updated on January 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.