Amistad-Hayden Ambulance Service

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

1147578 Issued in NM

Legal business name

AMISTAD-HAYDEN AMBULANCE SERVICE

Practice address

771 Tompkins Rd
Amistad, NM 88410-6225

Phone

(575) 633-2858

NPI assigned

Oct 6, 2008

Last updated

Oct 6, 2008By 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

Helen Thompkins

Title

Coordinator

Phone

(575) 633-2858

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1568613768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 TOMPKINS RD",
            "city": "AMISTAD",
            "state": "NM",
            "postal_code": "884106225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 TOMPKINS RD",
            "city": "AMISTAD",
            "state": "NM",
            "postal_code": "884106225",
            "telephone_number": "575-633-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD-HAYDEN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "THOMPKINS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "575-633-2858"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NM",
            "license": "1147578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Harding (Rosebud Fire and Rescue)
• Rosebud Fire & Rescue Inc.

• Emergency Care Clinic/Center in Amistad, NM
• Providers in Amistad, NM by specialty
• Emergency Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.