City of Raton

Organization Active NPI Land Ambulance · Raton, NM

NPI 1265518245 · NPPES record last updated Mar 6, 2026

Key facts

NPI
1265518245
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
Legal business name
CITY OF RATON
Practice address
127 Clark Ave
Raton, NM 87740
Phone
(575) 445-2708
Fax
(575) 445-2709
NPI assigned
Oct 31, 2006
Organization subpart
No

Authorized official

Name
Dusty Russell
Title
EMS Chief
Phone
(575) 445-2708

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100202000382 NM Part B Supplier - Ambulance Service Supplier 1850434648 Practice locations: Raton, NM

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes

Addresses

Primary practice location

127 Clark Ave
Raton, NM 87740

Mailing address

PO Box 910
Raton, NM 87740-0910
Phone (575) 445-2708

Other identifiers

IdentifierTypeStateIssuer
590005125OtherNMRRMC PROVIDER NUMBER
000R1330MedicaidNM
00NM00R018OtherNMBCBS PROVIDER NUMBER

Other providers in Raton, NM

All providers in Raton, NM · Land Ambulance in New Mexico

Sources for this page

Verify at the official NPI Registry.