City of Moriarty

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

68265 Issued in NM

Legal business name

CITY OF MORIARTY

Doing business as

Moriarty Fire Department

Practice address

201 Broadway SE
Moriarty, NM 87035

Phone

(505) 832-4301

NPI assigned

Jun 10, 2013

Last updated

Jun 10, 2013By 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

Steven Spann

Title

Fire Chief

Phone

(505) 832-4301

Specialties & licenses 1

Addresses

Other names 1

• MORIARTY FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Tax ID family

Moriarty Fire Department2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moriarty Fire Department

  • Ambulance
  • Moriarty, NM
  • NPI 1043348840
  NPD tax ID

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1306284682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BROADWAY SE",
            "city": "MORIARTY",
            "state": "NM",
            "postal_code": "87035",
            "telephone_number": "505-832-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MORIARTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "SPANN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "505-832-4301"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "68265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORIARTY FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly A Birch, DO
• Nicholas J. Black, LMSW
• Chantala Booth
• Kathleen Brown
• Shannon Marie Burke, LPCC
• Jennifer Como, M.D.
• Cornerstone Integrated Health LLC
• Susan Rae Early, RN
• Tammy Ann Eastham, ED. S.
• Richard Eaton, M.S.

• Land Ambulance in Moriarty, NM
• Providers in Moriarty, NM by specialty
• Land Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.