PUEBLO OF ACOMA NPI 1679716419

NPI Information

NPI: 1679716419
Provider Name: PUEBLO OF ACOMA

Doing Business As: ACOMA FIRE RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
74 INDIAN SERVICE
ROUTE 32
ACOMA, NM
ZIP 87034
Phone: (505) 552-7500
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PUEBLO OF ACOMA is a land transport ambulance in Acoma, NM. PUEBLO OF ACOMA NPI is 1679716419. The provider is registered as an organization entity type.
The provider Is Doing Business As Acoma Fire Rescue.

The provider's business location address is:

74 INDIAN SERVICE
ROUTE 32
ACOMA, NM
ZIP 87034-000
Phone: (505) 552-7500
Fax: (505) 552-9470

The provider's authorized official is Barbara A Vaughn .
The authorized official title is Agent and has the following contact phone number (402) 991-7866.

The enumeration date for this NPI number is 4/9/2009 and was last updated on 1/31/2019.

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	54980	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	54980	OTHER	NEW MEXICO	NM PRC

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

NPI Synchronization or Removal

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