County of Roosevelt
Organization Active NPI Land Ambulance · Milnesand, NM
NPI 1346561701 · NPPES record last updated Jul 26, 2011
Key facts
- NPI
- 1346561701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 52863 (NM)
- Legal business name
- COUNTY OF ROOSEVELT
- Practice address
- 4607 New Mexico 206
Milnesand, NM 88125-9724 - Phone
- (575) 675-2411
- Fax
- (575) 675-2379
- NPI assigned
- Jun 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Tammy A Lee
- Title
- Manager
- Phone
- (575) 356-5307
National Provider Directory
Locations
4607 NM Highway 206
Milnesand, NM 88125
Phone (575) 356-4990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 52863 | NM | |
| Land Ambulance | 3416L0300X | 52863 | NM | Yes |
Addresses
Primary practice location
4607 New Mexico 206
Milnesand, NM 88125-9724
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other names
- MILNESAND VOLUNTEER FIRE DISTRICT AND ARCH VOLUNETEER FIRE DISTRICT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.