Village of Ruidoso Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6052 Issued in NM

Legal business name

VILLAGE OF RUIDOSO AMBULANCE

Practice address

211 Sudderth Dr
Ruidoso, NM 88345-6002

Phone

(505) 257-8297

Fax

(505) 257-3617

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mark Reifsteck

Title

Sr VP Chief Operating Officer

Phone

(505) 841-1392

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447235320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-823-8528",
            "fax_number": "505-823-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SUDDERTH DR",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456002",
            "telephone_number": "505-257-8297",
            "fax_number": "505-257-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF RUIDOSO AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REIFSTECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SR VP CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "505-841-1392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "6052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00224",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanne F Van Swol, PA-C
• Francisco J Vargas Nava, M.D.
• Kaitlyn Vega, PTA
• Wendy Velez, FNP-BC
• George Vigil
• Liliana Villegas
• Iris Madelone Visser
• Dana M Wade, PT
• Walgreen Co
• Corey Walker

• Land Ambulance in Ruidoso, NM
• Providers in Ruidoso, 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 Aug 22, 2020; 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.