Organization Active NPI

Town of Grants

  • Land Ambulance
  • Grants, NM
National Provider Identifier
1700610714
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF GRANTS
Practice address
620 W High St
Grants, NM 87020-3601
Phone
(505) 287-7927
NPI assigned
Aug 30, 2024
Last updated
Aug 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Michael Maes
Title
Fire Chief
Phone
(505) 287-7927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

620 W High St
Grants, NM 87020-3601

Mailing address

620 W High St
Grants, NM 87020-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241113000033 NM Part B Supplier - Ambulance Service Supplier 1355875477 Practice locations: Grants, NM

National Provider Directory

National Provider Directory

Locations

620 W High St
Grants, NM 87020
Phone (505) 287-7927

620 W High St
#1
Grants, NM 87020
Phone (505) 876-2245

700 Truman Ave
#2
Grants, NM 87020
Phone (505) 287-2239

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1700610714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W HIGH ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W HIGH ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203601",
            "telephone_number": "505-287-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GRANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MAES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "505-287-7927"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.