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Organization Active NPI

Guadalupe County

Doing business as Guadalupe County Ambulance Service

  • Land Ambulance
  • Santa Rosa, NM
National Provider Identifier
1063227494
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GUADALUPE COUNTY
Doing business as
Guadalupe County Ambulance Service
Practice address
141 S 5TH St
Santa Rosa, NM 88435
Phone
(575) 472-1013
NPI assigned
Feb 12, 2025
Last updated
Feb 19, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GUADALUPE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Leslie Sanchez
Title
Revenue Cycle/Him Director
Phone
(575) 472-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

141 S 5TH St
Santa Rosa, NM 88435

Mailing address

117 Camino de Vida Ste 100
Santa Rosa, NM 88435-2267
Phone (575) 472-1013

Other names 1

  • Guadalupe County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325001107 NM Part B Supplier - Ambulance Service Supplier 9335118918 Practice locations: Santa Rosa, NM

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Guadalupe County Hospit2 organizations share this tax ID, including this one
Part of
Guadalupe County Hospit

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guadalupe County HospitalSanta Rosa, NM, CCN 320779 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Guadalupe County

    dba Guadalupe County Hospital

    • Emergency Care Clinic/Center
    • Santa Rosa, NM
    • NPI 1346249968

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1063227494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CAMINO DE VIDA STE 100",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "884352267",
            "telephone_number": "575-472-1013",
            "fax_number": "575-541-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S 5TH ST",
            "city": "SANTA ROSA",
            "state": "NM",
            "postal_code": "88435",
            "telephone_number": "575-472-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUADALUPE COUNTY",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "REVENUE CYCLE/HIM DIRECTOR",
        "authorized_official_telephone_number": "575-472-1013"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guadalupe County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, NM

Sources for this page

Verify at the official NPI Registry.