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VILLAGE OF ANGEL FIRE NPI 1467649806


NPI Information

NPI: 1467649806
Provider Name: VILLAGE OF ANGEL FIRE

Doing Business As: ANGEL FIRE EMS

Classification: Secured Medical Transport (VAN) - 343800000X
Entity Type: Organization
Address:
11 N ANGEL FIRE ROAD
ANGEL FIRE, NM
ZIP 87710
Phone: (505) 377-3347
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VILLAGE OF ANGEL FIRE is a secured medical transport van in Angel Fire, NM. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. VILLAGE OF ANGEL FIRE NPI is 1467649806. The provider is registered as an organization entity type.
The provider Is Doing Business As Angel Fire Ems.

The provider's business location address is:

11 N ANGEL FIRE ROAD
ANGEL FIRE, NM
ZIP 87710
Phone: (505) 377-3347
Fax: (505) 377-6098

The provider's authorized official is Orlando Sandoval .
The authorized official title is Fire Department Chief and has the following contact phone number (505) 377-3347.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 8/29/2008.


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
1343800000XSecured Medical Transport (VAN)G53792NEW MEXICOYes

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
1N0175MEDICAIDNEW 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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