Active NPI
Santa Fe County
- Land Ambulance
- Santa Fe, NM
National Provider Identifier
1316940026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 42343
- Legal business name
- SANTA FE COUNTY
- Practice address
- 35 Camino Justicia
Santa Fe, NM 87508-8501 - Phone
- (505) 992-3071
- Fax
- (505) 992-3073
- NPI assigned
- May 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lorie M. Mullings
- Title
- Billing Manager
- Phone
- (505) 992-3071
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 42343 | NM | Primary |
Addresses
Primary practice location
35 Camino Justicia
Santa Fe, NM 87508-8501
Mailing address
35 Camino Justicia
Santa Fe, NM 87508-8501
Phone (505) 992-3071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R2882 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100203000219 | NM | Part B Supplier - Ambulance Service Supplier | 5597808261 | Practice locations: Santa Fe, NM |
National Provider Directory
National Provider DirectoryLocations
35 Camino Justicia
Santa Fe, NM 87508
Phone (505) 992-3078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258588800000",
"number": "1316940026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 CAMINO JUSTICIA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088501",
"telephone_number": "505-992-3071",
"fax_number": "505-992-3073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CAMINO JUSTICIA",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875088501",
"telephone_number": "505-992-3071",
"fax_number": "505-992-3073"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA FE COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-27",
"last_updated": "2009-11-19",
"status": "A",
"authorized_official_last_name": "MULLINGS",
"authorized_official_first_name": "LORIE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "505-992-3071",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NM",
"license": "42343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R2882",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
- Santa Fe Cardiology PC
- Santa Fe Caregiving Company LLC (CareCo - The Caregiving Company)
- Santa Fe Children's Dentistry
- Santa Fe Community College Dental Clinic
- Santa Fe Community Guidance Center
- Santa Fe Dentist Office, LLC (Santa Fe Dentist Office)
- Santa Fe Derm and Wellness
- Santa Fe Dialectical Behavior Therapy, LLC
- Santa Fe Family and Functional Medicine PC
- Santa Fe Family Dentistry & Orthodontics LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.