Organization Active NPI

Village of Questa N Mex

Doing business as Questa EMS

  • Land Ambulance
  • Questa, NM
National Provider Identifier
1104954528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
54294 Issued in NM
Legal business name
VILLAGE OF QUESTA N MEX
Doing business as
Questa EMS
Practice address
2463 Hwy 522
Questa, NM 87556
Phone
(505) 586-0250
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Josh T Wright, EMT-IV
Title
EMS Captain
Phone
(505) 586-0694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 54294 NM Primary

Addresses

Primary practice location

2463 Hwy 522
Questa, NM 87556

Mailing address

PO Box 854
Questa, NM 87556
Phone (505) 586-0250

Other names 1

  • QUESTA EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070606000070 NM Part B Supplier - Ambulance Service Supplier 0143328773 Practice locations: Questa, NM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104954528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "87556",
            "telephone_number": "505-586-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HWY 522",
            "city": "QUESTA",
            "state": "NM",
            "postal_code": "87556",
            "telephone_number": "505-586-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF QUESTA N MEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JOSH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "505-586-0694",
        "authorized_official_credential": "EMT-IV"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "54294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUESTA EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Questa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.