County of Roosevelt

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

52863 Issued in NM

Legal business name

COUNTY OF ROOSEVELT

Doing business as

Milnesand &Arch Voluneteer Fire District

Practice address

1578 New Mexico 88
Portales, NM 88130-9669

Phone

(575) 276-8484

Fax

(575) 356-8307

NPI assigned

May 17, 2010

Last updated

May 17, 2016By 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

Mr. Amber S Hamilton

Title

County Manager

Phone

(575) 356-5307

Specialties & licenses 2

Addresses

Other names 1

• MILNESAND &ARCH VOLUNETEER FIRE DISTRICT Doing business as

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1093034928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-572-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 NEW MEXICO 88",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881309669",
            "telephone_number": "575-276-8484",
            "fax_number": "575-356-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROOSEVELT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "575-356-5307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NM",
            "license": "52863",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "52863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILNESAND &ARCH VOLUNETEER FIRE DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget Lee Connelly
• Deanna Mari Cordova, MS CCC-SLP
• Mia Lauren Cordova
• Coronado Care Center LLC (Coronado Care Center)
• Blessy Coss, LPCC, NCC
• Courageous Outcomes Therapies, LLC
• Aubrey Rose Courtney
• Gary Neal Cox
• Taylor Rae Crabtree
• Chelse Craig

• Land Ambulance in Portales, NM
• Providers in Portales, NM by specialty
• Land Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.