NPIMap

Organization Active NPI

Village of Des Moines

Doing business as Des Moines Ambulance Service

  • Land Ambulance
  • Des Moines, NM
National Provider Identifier
1508182007
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF DES MOINES
Doing business as
Des Moines Ambulance Service
Practice address
77 North Olive St
Des Moines, NM 88418
Phone
(575) 278-3911
Fax
(575) 278-2106
NPI assigned
Apr 9, 2010
Last updated
Apr 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Mr. Paul Joseph Briesh Jr., EMT - I
Title
EMS Director
Phone
(575) 278-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

77 North Olive St
Des Moines, NM 88418

Mailing address

PO Box 127
Des Moines, NM 88418-0127
Phone (575) 278-2127

Other names 1

  • DES MOINES AMBULANCE SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051222000143 NM Part B Supplier - Ambulance Service Supplier 8921020645 Practice locations: Des Moines, NM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1508182007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "DES MOINES",
            "state": "NM",
            "postal_code": "884180127",
            "telephone_number": "575-278-2127",
            "fax_number": "575-278-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NORTH OLIVE ST",
            "city": "DES MOINES",
            "state": "NM",
            "postal_code": "88418",
            "telephone_number": "575-278-3911",
            "fax_number": "575-278-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF DES MOINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "BRIESH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "575-278-2101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EMT - I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DES MOINES AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.