County of Roosevelt

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

52863 Issued in NM

Legal business name

COUNTY OF ROOSEVELT

Doing business as

Milnesand Volunteer Fire District and Arch Voluneteer Fire District

Practice address

4607 New Mexico 206
Milnesand, NM 88125-9724

Phone

(575) 675-2411

Fax

(575) 675-2379

NPI assigned

Jun 18, 2010

Last updated

Jul 26, 2011By 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

Mr. Tammy A Lee

Title

Manager

Phone

(575) 356-5307

Specialties & licenses 2

Addresses

Other names 1

• MILNESAND VOLUNTEER FIRE DISTRICT AND ARCH VOLUNETEER FIRE DISTRICT Doing business as

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1346561701",
    "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": "4607 NEW MEXICO 206",
            "city": "MILNESAND",
            "state": "NM",
            "postal_code": "881259724",
            "telephone_number": "575-675-2411",
            "fax_number": "575-675-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROOSEVELT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "575-356-5307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NM",
            "license": "52863",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "52863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILNESAND VOLUNTEER FIRE DISTRICT AND ARCH VOLUNETEER FIRE DISTRICT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.