JICARILLA EMS NPI 1477684447

NPI Information

NPI: 1477684447
Provider Name: JICARILLA EMS
Classification: Ambulance - 3416L0300X
Specialization: Land Transport
Entity Type: Organization
Address: 2300 NARROW GAUGE RD
DULCE, NM
ZIP 87528
Phone: (575) 759-3778

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NPI Details

JICARILLA EMS is a land transport ambulance in Dulce, NM. JICARILLA EMS NPI is 1477684447. The provider is registered as an organization entity type.

The provider's business location address is:

2300 NARROW GAUGE RD
DULCE, NM
ZIP 87528
Phone: (575) 759-3778
Fax: (575) 759-3841

The provider's authorized official is Dawn Burns .
The authorized official title is Acting Director and has the following contact phone number (575) 759-3778.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 2/21/2013.

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
1	3416L0300X	Ambulance	Land Transport	47495	NEW MEXICO	Yes

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
1	R2939	MEDICAID	NEW MEXICO
2	R134	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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