City of Moriarty
Organization Active NPI Land Ambulance · Moriarty, NM
NPI 1306284682 · NPPES record last updated Jun 10, 2013
Key facts
- NPI
- 1306284682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 68265 (NM)
- Legal business name
- CITY OF MORIARTY
- Practice address
- 201 Broadway SE
Moriarty, NM 87035 - Phone
- (505) 832-4301
- NPI assigned
- Jun 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Steven Spann
- Title
- Fire Chief
- Phone
- (505) 832-4301
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131115000328 | NM | Part B Supplier - Ambulance Service Supplier | 9739315060 | Practice locations: Moriarty, NM |
National Provider Directory
- Tax ID family
- City of Moriarty
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 68265 | NM | Yes |
Addresses
Primary practice location
201 Broadway SE
Moriarty, NM 87035
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other names
- MORIARTY FIRE DEPARTMENT
Other providers in Moriarty, NM
- Kimberly A Birch
- Nicholas J. Black
- Chantala Booth
- Kathleen Brown
- Shannon Marie Burke
- Jennifer Como
- Cornerstone Integrated Health LLC
- Susan Rae Early
- Tammy Ann Eastham
- Richard Eaton
All providers in Moriarty, NM · Land Ambulance in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2013. 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.