County of Sandoval

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COUNTY OF SANDOVAL

Practice address

301 Piedra Lisa St
Bernalillo, NM 87004-5809

Phone

(505) 867-0245

Fax

(505) 857-6256

NPI assigned

Jan 3, 2007

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric Masterson

Title

Fire Chief

Phone

(505) 867-0245

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sandoval County Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1063579506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870040040",
            "telephone_number": "505-867-0245",
            "fax_number": "505-867-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PIEDRA LISA ST",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045809",
            "telephone_number": "505-867-0245",
            "fax_number": "505-857-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SANDOVAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "505-867-0245"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM00R066",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H3754",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandoval County Fire Department",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sandoval County Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joanne B Collier, MS
• Amanda Marie Collins, RDH
• Dorothy A. Coriz, LADAC
• Jill Elizabeth Cornell, MA, LPCC
• Juanita Correa
• Crestview Hospice LLC
• Lesley Davidson-Boyd, LMHC
• Trevor M Davis, DMD
• Teresita Amanda De la Torre, M.A., SLP
• Alexandra De Vere, LMHC

• Ambulance in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.