La Clinica del Pueblo de Rio Arriba

Organization Active NPI Land Ambulance · Tierra Amarilla, NM

NPI 1790745974 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1790745974
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 2

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

National Provider Directory

Tax ID family
La Clinica del Pueblo de Rio Arriba (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Yes

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

Other providers in Tierra Amarilla, NM

All providers in Tierra Amarilla, NM · Land Ambulance in New Mexico

Sources for this page

Verify at the official NPI Registry.