Western States C.C.T. Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

06416 Issued in NM

Legal business name

WESTERN STATES C.C.T. INC

Practice address

424 Harris Rd
Las Vegas, NM 87701-4840

Phone

(505) 454-3847

Fax

(505) 454-3852

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Greg Matthew Hesch, FPC

Title

Vice President of Medical Operation

Phone

(505) 660-7719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1457606147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HARRIS RD.",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "87508",
            "telephone_number": "505-454-3847",
            "fax_number": "505-454-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 HARRIS RD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014840",
            "telephone_number": "505-454-3847",
            "fax_number": "505-454-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN STATES C.C.T. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "HESCH",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MEDICAL OPERATION",
        "authorized_official_telephone_number": "505-660-7719",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FPC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "06416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Las Vegas Public Schools (West Las Vegas Student Health Center)
• West Las Vegas School Based Health Center
• West Las Vegas Schools
• West Las Vegas Schools
• Western States Air Medical LLC
• Susan Wetherill, CPSW.FPSW,CCSS
• Paula Wetterer, MS, SLP-CCC
• Darren Wheat, BMS
• Alaina White
• Brenda White, M.D.

• Land Ambulance in Las Vegas, NM
• Providers in Las Vegas, 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 Jul 18, 2012; 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.