Village of Cimarron

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF CIMARRON

Doing business as

Cimarron Community Ambulance

Practice address

356 B East 9TH Street
Cimarron, NM 87714

Phone

(575) 376-2232

NPI assigned

Aug 19, 2006

Last updated

Feb 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan William Lay, PARAMEDIC

Title

EMS Director

Phone

(575) 376-2281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CIMARRON COMMUNITY AMBULANCE Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1275648644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "CIMARRON",
            "state": "NM",
            "postal_code": "877140654",
            "telephone_number": "505-376-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 B EAST 9TH STREET",
            "city": "CIMARRON",
            "state": "NM",
            "postal_code": "87714",
            "telephone_number": "575-376-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CIMARRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "575-376-2281",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R2643",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Imagetrend",
            "affiliation": "N",
            "endpointDescription": "NMEMSTARS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "State of New Mexico",
            "address_1": "356 B East 9th Street",
            "city": "cimarron",
            "state": "NM",
            "country_code": "US",
            "postal_code": "87714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CIMARRON COMMUNITY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CIMARRON COMMUNITY AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presbyterian Healthcare Services (Cimarron Health Center)
• Melissa Smith, LPN
• South Central Colfax County Hospital District (Cimarron Healthcare Clinic)
• Sunrise Clinics (Sunrise Clinics - Cimarron SBHC)
• Kathleen Anne Veit, MS LPCC
• Elizabeth A Wallace
• Lisa A Wentling, PA-C

• Ambulance in Cimarron, NM
• Providers in Cimarron, NM by specialty
• Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.