Village of Questa N Mex
Organization Active NPI Land Ambulance · Questa, NM
NPI 1104954528 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104954528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 54294 (NM)
- Legal business name
- VILLAGE OF QUESTA N MEX
- Practice address
- 2463 Hwy 522
Questa, NM 87556 - Phone
- (505) 586-0250
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Josh T Wright, EMT-IV
- Title
- EMS Captain
- Phone
- (505) 586-0694
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070606000070 | NM | Part B Supplier - Ambulance Service Supplier | 0143328773 | Practice locations: Questa, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 54294 | NM | Yes |
Addresses
Primary practice location
2463 Hwy 522
Questa, NM 87556
Mailing address
PO Box 854
Questa, NM 87556
Phone (505) 586-0250
Other names
- QUESTA EMS
Other providers in Questa, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.