Active NPI
City of Clovis
Doing business as Clovis Fire Department EMS
- Ambulance
- Clovis, NM
National Provider Identifier
1790763522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- PRC12897
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000409 | NM | Part B Supplier - Ambulance Service Supplier | 1052454543 | Practice locations: Clovis, NM |
National Provider Directory
National Provider DirectoryLocations
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.