NPIMap

Organization Active NPI

La Clinica del Pueblo de Rio Arriba

  • Land Ambulance
  • Tierra Amarilla, NM
National Provider Identifier
1790745974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
LA CLINICA DEL PUEBLO DE RIO ARRIBA
Practice address
Highway 84 County Road 324 #14
Tierra Amarilla, NM 87575
Phone
(505) 588-7252
Fax
(505) 588-7007
NPI assigned
Mar 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Phyllis J Richards, NREMT-P
Title
EMS Director
Phone
(505) 588-7252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

Highway 84 County Road 324 #14
Tierra Amarilla, NM 87575

Mailing address

PO Box 250
Tierra Amarilla, NM 87575-0250
Phone (505) 588-7252

National Provider Directory

National Provider Directory
Tax ID family
La Clinica del Pueblo de Rio Arriba3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790745974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "875750250",
            "telephone_number": "505-588-7252",
            "fax_number": "505-588-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 84 COUNTY ROAD 324 #14",
            "city": "TIERRA AMARILLA",
            "state": "NM",
            "postal_code": "87575",
            "telephone_number": "505-588-7252",
            "fax_number": "505-588-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CLINICA DEL PUEBLO DE RIO ARRIBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "505-588-7252",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tierra Amarilla, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.