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COUNTY OF SANDOVAL NPI 1063579506


NPI Information

NPI: 1063579506
Provider Name: COUNTY OF SANDOVAL

Other Name: SANDOVAL COUNTY FIRE DEPARTMENT

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 32D2154615

Address:
301 PIEDRA LISA ST
BERNALILLO, NM
ZIP 87004
Phone: (505) 867-0245
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COUNTY OF SANDOVAL is an ambulance in Bernalillo, NM. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). COUNTY OF SANDOVAL NPI is 1063579506. The provider is registered as an organization entity type.
The provider Other Name Is Sandoval County Fire Department.

The provider's business location address is:

301 PIEDRA LISA ST
BERNALILLO, NM
ZIP 87004-809
Phone: (505) 867-0245
Fax: (505) 857-6256

The provider's authorized official is Eric Masterson .
The authorized official title is Fire Chief and has the following contact phone number (505) 867-0245.

The CLIA number assigned to this NPI record is 32D2154615 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 10/2/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulanceYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NM00R066OTHERNEW MEXICOBCBS
2H3754MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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