City of Clovis
Organization Active NPI Ambulance · Clovis, NM
NPI 1790763522 · NPPES record last updated May 14, 2026
Key facts
- NPI
- 1790763522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- PRC12897 (NM)
- Legal business name
- CITY OF CLOVIS
- Practice address
- 320 Mitchell St
Clovis, NM 88101-7471 - Phone
- (575) 763-9228
- NPI assigned
- Jan 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Jackie Piccillo, BILLING SPECIALIST
- Title
- Billing Specialist
- Phone
- (575) 763-9228
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100205000409 | NM | Part B Supplier - Ambulance Service Supplier | 1052454543 | Practice locations: Clovis, NM |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | PRC12897 | NM | Yes |
| 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
- Clovis Fire Department EMS
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.