Organization Active NPI

City of Tucumcari

Doing business as Tucumcari Medical Services Dept

  • Land Ambulance
  • Tucumcari, NM
National Provider Identifier
1043382427
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2754 Issued in NM
Legal business name
CITY OF TUCUMCARI
Doing business as
Tucumcari Medical Services Dept
Practice address
225 E Center St
Tucumcari, NM 88401-2214
Phone
(505) 461-2558
Fax
(505) 461-2561
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Ms. Brenda Kaye Rivale
Title
EMS Director
Phone
(575) 461-2558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 2754 NM Primary

Addresses

Primary practice location

225 E Center St
Tucumcari, NM 88401-2214

Mailing address

PO Box 1188
Tucumcari, NM 88401-1188
Phone (505) 461-2558

Other names 1

  • Tucumcari Medical Services Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000246 NM Part B Supplier - Ambulance Service Supplier 4385769918 Practice locations: Tucumcari, NM

National Provider Directory

National Provider Directory

Locations

225 E Center St
Tucumcari, NM 88401
Phone (505) 461-2558

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1043382427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884011188",
            "telephone_number": "505-461-2558",
            "fax_number": "505-461-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CENTER ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012214",
            "telephone_number": "505-461-2558",
            "fax_number": "505-461-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF TUCUMCARI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "RIVALE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "575-461-2558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucumcari Medical Services Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.