Santo Domingo Tribe

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SANTO DOMINGO TRIBE

Doing business as

Santo Domingo EMS

Practice address

#1 Tesuque St.
EMS Headquarters
Santo Domingo Pueblo, NM 87052

Phone

(505) 465-2214

Fax

(505) 465-2688

NPI assigned

Aug 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Matt Williams

Title

EMS Director

Phone

(505) 465-2214

Specialties & licenses 1

Addresses

Other names 1

• Santo Domingo EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucas O'Laughlin, LMSW

  • Social Worker
  • Anchorage, AK
  • NPI 1730445487
  NPD

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1679766489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "87052",
            "telephone_number": "505-465-2214",
            "fax_number": "505-465-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 TESUQUE ST.",
            "address_2": "EMS HEADQUARTERS",
            "city": "SANTO DOMINGO PUEBLO",
            "state": "NM",
            "postal_code": "87052",
            "telephone_number": "505-465-2214",
            "fax_number": "505-465-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTO DOMINGO TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "505-465-2214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santo Domingo EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Salazar, CNP
• Pauline K Sanchez, CCHW, CCSS
• Santo Domingo Behavioral Health
• Santo Domingo Health Clinic
• Santo Domingo Pueblo
• Mathew Strickland, M.D., M.P.H.
• Beth Aime Strimpel, RN
• Dezbah Stumpff, LMHC
• Crystal J Tortalita
• Soren Uhl, RN

• Land Ambulance in Santo Domingo Pueblo, NM
• Providers in Santo Domingo Pueblo, NM by specialty
• Land Ambulance in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.

Verify at the official NPI Registry.