Active NPI
Pueblo of Acoma
Doing business as Acoma Fire Rescue
- Land Ambulance
- Acoma, NM
National Provider Identifier
1679716419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 54980
- Legal business name
- PUEBLO OF ACOMA
- Doing business as
- Acoma Fire Rescue
- Practice address
- 74 Pinsbaari Dr
Acoma, NM 87034-1001 - Phone
- (505) 552-7500
- Fax
- (505) 552-9470
- NPI assigned
- Apr 9, 2009
- Last updated
- Oct 7, 2026
- 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
- Mr. John Garcia
- Title
- Chief
- Phone
- (402) 991-7866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 54980 | NM | Primary |
Addresses
Primary practice location
74 Pinsbaari Dr
Acoma, NM 87034-1001
Mailing address
PO Box 468
Acoma, NM 87034-0468
Phone (505) 508-6258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54980 | Other | NM | NM PRC |
Other names 1
- Acoma Fire Rescue
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1679716419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 468",
"city": "ACOMA",
"state": "NM",
"postal_code": "870340468",
"telephone_number": "505-508-6258",
"fax_number": "505-552-9470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 PINSBAARI DR",
"city": "ACOMA",
"state": "NM",
"postal_code": "870341001",
"telephone_number": "505-552-7500",
"fax_number": "505-552-9470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUEBLO OF ACOMA",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-09",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "402-991-7866",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NM",
"license": "54980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NM PRC",
"identifier": "54980",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Acoma Fire Rescue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Acoma Fire Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Acoma, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.