NPIMap

Organization Active NPI

Navajo Nation EMS

  • Land Ambulance
  • Window Rock, AZ
National Provider Identifier
1619082211
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NAVAJO NATION EMS
Practice address
Morgan Blvd (Behind Police Department)
Window Rock, AZ 86515-3360
Phone
(928) 871-6410
Fax
(928) 871-7789
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Henry Wallace
Title
Department Manager III
Phone
(928) 871-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Morgan Blvd (Behind Police Department)
Window Rock, AZ 86515-3360

Mailing address

PO Box #3360
Window Rock, AZ 86515-3360
Phone (928) 871-6410

Other identifiers 2

IdentifierTypeStateIssuer
R3129OtherNMMEDICAID
07209101MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Navajo Tribe ER Med SVC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619082211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX #3360",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865153360",
            "telephone_number": "928-871-6410",
            "fax_number": "928-871-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MORGAN BLVD (BEHIND POLICE DEPARTMENT)",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "865153360",
            "telephone_number": "928-871-6410",
            "fax_number": "928-871-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJO NATION EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DEPARTMENT MANAGER III",
        "authorized_official_telephone_number": "928-871-6410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "R3129",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07209101",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Window Rock, AZ

Sources for this page

  • 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.