NPIMap

Organization Active NPI

Pecos Valley Ambulance Service

  • Land Ambulance
  • Pecos, NM
National Provider Identifier
1891910295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PECOS VALLEY AMBULANCE SERVICE
Practice address
521 Hwy 50
Pecos, NM 87552-0710
Phone
(505) 757-6482
Fax
(505) 757-2700
NPI assigned
Apr 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sigrid Olson
Title
Executive Director
Phone
(505) 757-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NM Primary

Addresses

Primary practice location

521 Hwy 50
Pecos, NM 87552-0710

Mailing address

PO Box 710
Hwy 50
Pecos, NM 87552-0710
Phone (505) 757-6482

Other identifiers 1

IdentifierTypeStateIssuer
RO522MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Pecos Valley Med Ctr I3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891910295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710",
            "address_2": "HWY 50",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875520710",
            "telephone_number": "505-757-6482",
            "fax_number": "505-757-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 HWY 50",
            "city": "PECOS",
            "state": "NM",
            "postal_code": "875520710",
            "telephone_number": "505-757-6482",
            "fax_number": "505-757-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS VALLEY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-757-6482"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RO522",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pecos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.