Provider Demographics
NPI:1730986068
Name:FALCK SOUTHWEST CORP
Entity type:Organization
Organization Name:FALCK SOUTHWEST CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-707-6064
Mailing Address - Street 1:1201 S ALMA SCHOOL RD STE 16300
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-1381
Mailing Address - Country:US
Mailing Address - Phone:844-476-0009
Mailing Address - Fax:877-768-1164
Practice Address - Street 1:3513 NW JIM WRIGHT FWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76106-3200
Practice Address - Country:US
Practice Address - Phone:720-707-6064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FALCK USA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-25
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance