Town of Clayton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

14760 Issued in NM

Legal business name

TOWN OF CLAYTON

Doing business as

Clayton Fire & Rescue

Practice address

1 Chestnut Street
Clayton, NM 88415

Phone

(505) 374-8331

Fax

(505) 374-8497

NPI assigned

Oct 3, 2006

Last updated

May 1, 2024By 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

Katherine Barnes

Title

Clerk Treasurer

Phone

(575) 374-8331

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Clayton Fire & Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1447344585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHESTNUT STREET",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "88415",
            "telephone_number": "505-374-8331",
            "fax_number": "505-374-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CLAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CLERK TREASURER",
        "authorized_official_telephone_number": "575-374-8331"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "14760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R0712",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0580613",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201080024",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00R021",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162330801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina J. Sisneros, CSW
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• Brenda Dee Tanner, LPC
• Teambuilders Behavioral Health, LLC
• Alexandria Trujillo, BMS
• Jayme Shelly Trujillo, RN
• Krista R. Trujillo, BMS
• Union County Medical Center Inc
• Mark Edward Van Wormer, MD

• Land Ambulance in Clayton, NM
• Providers in Clayton, 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 May 1, 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.