County of Catron
Organization Active NPI Ambulance · Reserve, NM
NPI 1295779312 · NPPES record last updated Jul 6, 2010
Key facts
- NPI
- 1295779312
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- COUNTY OF CATRON
- Practice address
- 100 Main Street
Reserve, NM 87830-0507 - Phone
- (575) 533-6423
- Fax
- (575) 533-6433
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. William Aymar
- Title
- County Manager
- Phone
- (575) 533-6423
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100713000334 | NM | Part B Supplier - Ambulance Service Supplier | 6305978248 | Practice locations: Reserve, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NM | Yes | |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
100 Main Street
Reserve, NM 87830-0507
Mailing address
PO Box 507
Reserve, NM 87830-0507
Phone (575) 533-6423
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0035 | Medicaid | NM |
Other providers in Reserve, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2010. 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.