City of Portales

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF PORTALES

Practice address

301 S Ave C
Portales, NM 88130

Phone

(575) 356-4406

Fax

(575) 359-0925

NPI assigned

Jul 31, 2006

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF PORTALESAs reported in NPPES

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

Authorized official

Name

Danielle Swopes

Title

City Clerk

Phone

(575) 356-3158

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Part of

City of Portales

Locations

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1336155126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 COMMUNITY WAY",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "575-356-6662",
            "fax_number": "575-563-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S AVE C",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "88130",
            "telephone_number": "575-356-4406",
            "fax_number": "575-359-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTALES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF PORTALES",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SWOPES",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "575-356-3158"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "12434",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "=========",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R1272",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles W. Brooks, O.D., P.C.
• Praveen Chava, M.D.
• Deborah L Chavez, LMSW
• Tiffany C Cheung
• Lindsay D Christensen, DMD
• Colton Trevenne Coleman
• Tori Brianne Collins
• Community Services Center
• Gloria Connally, RN, BSN
• Bridget Lee Connelly

• Land Ambulance in Portales, NM
• Providers in Portales, 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 Oct 15, 2024; 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.