Active NPI
Incorporated County of Los Alamos
- Land Ambulance
- Los Alamos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 41036
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201080137 | Other | NM | PRESBYTERIAN SALUD |
| 4074870 | Other | BLUE CROSS/BLUE SHIELD | |
| G008A95 | Other | MUTUAL OF OMAHA | |
| 00NM00R031 | Other | BLUE CROSS/BLUE SHIELD | |
| 000R2247 | Medicaid | NM | |
| 3142 | Other | KAISER PERMANENTE | |
| 201080137 | Other | PRESBYTERIAN INSURANCE C | |
| 13847 | Other | PRESBYTERIAN HEALTH PLAN |
Other names 1
- Los Alamos County Fire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100812000696 | NM | Part B Supplier - Ambulance Service Supplier | 3375677388 | Practice locations: Los Alamos, NM |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2210201 | Incorporated County of Los Alamos | Certificate of waiver | Jan 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.