Organization Active NPI

Pueblo of Acoma

Doing business as Acoma Fire Rescue

  • Land Ambulance
  • Acoma, NM
National Provider Identifier
1679716419
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
54980 Issued in NM
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54980OtherNMNM PRC

Other names 1

  • Acoma Fire Rescue Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.