Active NPI
Town of Tatum
- Ambulance
- Tatum, NM
National Provider Identifier
1639167497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TOWN OF TATUM
- Practice address
- 401 E Broadway
Tatum, NM 88267-0156 - Phone
- (505) 398-4633
- Fax
- (505) 398-8288
- NPI assigned
- Oct 6, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon E Rambo
- Title
- Clerk/Treasurer
- Phone
- (505) 398-4633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
401 E Broadway
Tatum, NM 88267-0156
Mailing address
PO Box 156
Tatum, NM 88267-0156
Phone (505) 398-4633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0381 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100520000184 | NM | Part B Supplier - Ambulance Service Supplier | 0547399172 | Practice locations: Tatum, NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1639167497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 156",
"city": "TATUM",
"state": "NM",
"postal_code": "882670156",
"telephone_number": "505-398-4633",
"fax_number": "505-398-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E BROADWAY",
"city": "TATUM",
"state": "NM",
"postal_code": "882670156",
"telephone_number": "505-398-4633",
"fax_number": "505-398-8288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF TATUM",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RAMBO",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CLERK/TREASURER",
"authorized_official_telephone_number": "505-398-4633"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R0381",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tatum, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.