City of Texico

Organization Active NPI Land Ambulance · Texico, NM

NPI 1992863815 · NPPES record last updated Feb 12, 2009

Key facts

NPI
1992863815
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
52570 (NM)
Legal business name
CITY OF TEXICO
Practice address
120 N. Turner
Texico, NM 88135-0208
Phone
(505) 482-3314
Fax
(505) 482-9044
NPI assigned
Dec 4, 2006
Organization subpart
Yes
Parent organization (as reported)
CITY OF TEXICO

Authorized official

Name
Mr. Lewis L Cooper
Title
Fire Chief
Phone
(505) 482-3314

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090528000647 NM Part B Supplier - Ambulance Service Supplier 1951450600 Practice locations: Texico, NM

National Provider Directory

Part of
City of Texico

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 52570 NM Yes

Addresses

Primary practice location

120 N. Turner
Texico, NM 88135-0208

Mailing address

PO Box 208
Texico, NM 88135-0208
Phone (505) 482-3314

Other identifiers

IdentifierTypeStateIssuer
R5744MedicaidNM

Other names

  • Texico Volunteer Fire & Rescue Doing business as

Other providers in Texico, NM

All providers in Texico, NM · Land Ambulance in New Mexico

Sources for this page

Verify at the official NPI Registry.