City of Lovington
Organization Active NPI Ambulance · Lovington, NM
NPI 1154313773 · NPPES record last updated Dec 18, 2019
Key facts
- NPI
- 1154313773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 314343 (NM)
- Legal business name
- CITY OF LOVINGTON
- Practice address
- 213 S Love St
Lovington, NM 88260-4238 - Phone
- (575) 396-2359
- Fax
- (575) 396-7380
- NPI assigned
- Aug 19, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- CITY OF LOVINGTON
Authorized official
- Name
- Terrance Lizardo
- Title
- Fire Chief
- Phone
- (575) 396-2359
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100126000111 | NM | Part B Supplier - Ambulance Service Supplier | 2365584679 | Practice locations: Lovington, NM |
National Provider Directory
- Part of
- City of Lovington
Locations
213 S Love St
Lovington, NM 88260
Phone (505) 396-2884
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 314343 | NM | Yes |
Addresses
Primary practice location
213 S Love St
Lovington, NM 88260-4238
Mailing address
PO Box 1269
Lovington, NM 88260-1269
Phone (575) 396-2359
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R042 | Other | NM | BSBC |
| R0571 | Medicaid | NM |
Other names
- Lovington Ambulance Service
Other providers in Lovington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2019. 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.