Active NPI
Southwest Ambulance of New Mexico
- Ambulance
- Roswell, NM
National Provider Identifier
1851348148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SOUTHWEST AMBULANCE OF NEW MEXICO
- Practice address
- 108 West Denning
Roswell, NM 88203 - Phone
- (480) 627-6420
- Fax
- (480) 627-6243
- NPI assigned
- May 30, 2006
- 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
- Mr. Bryan Gibson
- Title
- Group President
- Phone
- (480) 655-7202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
108 West Denning
Roswell, NM 88203
Mailing address
PO Box 26896
Albuquerque, NM 87125-6896
Phone (480) 627-6143
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM00RC35 | Other | NM | BCBS PIN |
| 03430251 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261353600000",
"number": "1851348148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26896",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256896",
"telephone_number": "480-627-6143",
"fax_number": "480-627-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WEST DENNING",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88203",
"telephone_number": "480-627-6420",
"fax_number": "480-627-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST AMBULANCE OF NEW MEXICO",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2009-12-21",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "GROUP PRESIDENT",
"authorized_official_telephone_number": "480-655-7202",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "NM00RC35",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03430251",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
- Southeastern New Mexico Speech and Hearing Clinic (Audio Acoustics Hearing Center)
- Southeastern New Mexico Surgical Center, LLC (Center for Ambulatory Surgery and Endoscopy of Southeastern New Mexico)
- Southern Counseling and Psychological Services LLC
- Southern New Mexico Medical Association, PA
- Tina J Southward, PAC
- Southwest C a R E Center
- Southwest Medical Associates, LLC
- Kathleen Sova
- Sparkman Behavioral Health, P. C.
- Loretta Margaret Sparkman, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.