Organization Active NPI

Incorporated County of Los Alamos

  • Land Ambulance
  • Los Alamos, NM
National Provider Identifier
1033142443
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
41036 Issued in NM
Legal business name
INCORPORATED COUNTY OF LOS ALAMOS
Doing business as
Los Alamos County Fire
Practice address
999 Central Ave
Suite 200
Los Alamos, NM 87544-3330
Phone
(505) 662-8318
Fax
(505) 662-8302
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Dadzie
Title
Chief Financial Officer
Phone
(505) 662-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 41036 NM Primary

Addresses

Primary practice location

999 Central Ave
Suite 200
Los Alamos, NM 87544-3330

Mailing address

999 Central Ave Ste 200
Los Alamos, NM 87544-3328
Phone (505) 662-8318

Other identifiers 8

IdentifierTypeStateIssuer
201080137OtherNMPRESBYTERIAN SALUD
4074870OtherBLUE CROSS/BLUE SHIELD
G008A95OtherMUTUAL OF OMAHA
00NM00R031OtherBLUE CROSS/BLUE SHIELD
000R2247MedicaidNM
3142OtherKAISER PERMANENTE
201080137OtherPRESBYTERIAN INSURANCE C
13847OtherPRESBYTERIAN HEALTH PLAN

Other names 1

  • Los Alamos County Fire Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100812000696 NM Part B Supplier - Ambulance Service Supplier 3375677388 Practice locations: Los Alamos, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2210201Incorporated County of Los Alamos999 Central Ave Suite 200, Los Alamos, NM 87544Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

Locations

999 Central Ave
Ste 200
Los Alamos, NM 87544
Phone (505) 662-8301

195 East Rd
Ste 101
Los Alamos, NM 87544
Phone (505) 662-8301

W Jemez Rd
Los Alamos, NM 87545
Phone (505) 667-7026

129 State Road 4
Los Alamos, NM 87547
Phone (505) 663-1843

State Rd 501
Los Alamos, NM 87545
Phone (505) 667-7354

129 State Road 4
#3
Los Alamos, NM 87547
Phone (505) 663-1843

4401 Diamond Dr
#4
Los Alamos, NM 87544
Phone (505) 667-7350

4401 Diamond Dr
Los Alamos, NM 87544
Phone (505) 667-7350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1033142443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE STE 200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443328",
            "telephone_number": "505-662-8318",
            "fax_number": "505-662-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE",
            "address_2": "SUITE 200",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875443330",
            "telephone_number": "505-662-8318",
            "fax_number": "505-662-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCORPORATED COUNTY OF LOS ALAMOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "DADZIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-662-8018"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "41036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN SALUD",
            "identifier": "201080137",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "4074870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "G008A95",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "00NM00R031",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000R2247",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "3142",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN INSURANCE C",
            "identifier": "201080137",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "13847",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Alamos County Fire",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Alamos County Fire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.