Organization Active NPI

City of Clovis

Doing business as Clovis Fire Department EMS

  • Ambulance
  • Clovis, NM
National Provider Identifier
1790763522
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
PRC12897 Issued in NM
Legal business name
CITY OF CLOVIS
Doing business as
Clovis Fire Department EMS
Practice address
320 Mitchell St
Clovis, NM 88101-7471
Phone
(575) 763-9228
NPI assigned
Jan 3, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Jackie Piccillo, BILLING SPECIALIST
Title
Billing Specialist
Phone
(575) 763-9228

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X PRC12897 NM Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

320 Mitchell St
Clovis, NM 88101-7471

Mailing address

320 Mitchell St
Clovis, NM 88101-7471
Phone (575) 763-9228

Other names 1

  • Clovis Fire Department EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100205000409 NM Part B Supplier - Ambulance Service Supplier 1052454543 Practice locations: Clovis, NM

National Provider Directory

National Provider Directory

Locations

220 E Brady Ave
Clovis, NM 88101
Phone (575) 769-7819

2200 Cesar Chavez Dr
Clovis, NM 88101
Phone (575) 769-7883

320 Mitchell St
Clovis, NM 88101
Phone (505) 769-7814

615 E Llano Estacado Blvd
Clovis, NM 88101
Phone (575) 769-7881

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1790763522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MITCHELL ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881017471",
            "telephone_number": "575-763-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MITCHELL ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881017471",
            "telephone_number": "575-763-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLOVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "PICCILLO",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "575-763-9228",
        "authorized_official_credential": "BILLING SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NM",
            "license": "PRC12897",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clovis Fire Department EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.