Active NPI
Village of Questa N Mex
Doing business as Questa EMS
- Land Ambulance
- Questa, NM
National Provider Identifier
1104954528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 54294
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070606000070 | NM | Part B Supplier - Ambulance Service Supplier | 0143328773 | Practice locations: Questa, NM |
National Provider Directory
National Provider DirectoryNPI 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.