Living Cross Ambulance Service, Inc.
Organization Active NPI Land Ambulance · Bosque Farms, NM
NPI 1942393616 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1942393616
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 02-066619-00-5 (NM)
- Legal business name
- LIVING CROSS AMBULANCE SERVICE, INC.
- Practice address
- 1355 West Bosque Loop
Bosque Farms, NM 87068-9271 - Phone
- (505) 869-0800
- Fax
- (505) 869-8242
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Bris
- Title
- President
- Phone
- (505) 869-0800
National Provider Directory
Locations
Dept 1518
Denver, CO 80256
Dept 001518
Denver, CO 80256
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 02-066619-00-5 | NM | Yes |
Addresses
Primary practice location
1355 West Bosque Loop
Bosque Farms, NM 87068-9271
Mailing address
P.O. Box 888
Peralta, NM 87042-0888
Phone (505) 869-0800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71132 | Medicaid | NM |
Other providers in Bosque Farms, NM
- Kellijo Jacobson
- Jade Marie Jamros
- Janus J. de Cunae, DDS, LLC
- Elizabeth Nickless Joyce
- Jacqueline Kelly-Romero
- Living Waters Physical Therapy
- Amy Jeannie Maldonado
- Fatemeh Mansoori
- Margie J Wesley, LLC
- Manuela Helena Moya
All providers in Bosque Farms, NM · Land Ambulance in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.