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PUEBLO OF LAGUNA NPI 1932267259


NPI Information

NPI: 1932267259
Provider Name: PUEBLO OF LAGUNA

Doing Business As: LAGUNA FIRE& RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
5 BLUE STAR LOOP
PARAJE, NM
ZIP 87007
Phone: (505) 552-1102
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PUEBLO OF LAGUNA is a land transport ambulance in Paraje, NM. PUEBLO OF LAGUNA NPI is 1932267259. The provider is registered as an organization entity type.
The provider Is Doing Business As Laguna Fire& Rescue.

The provider's business location address is:

5 BLUE STAR LOOP
PARAJE, NM
ZIP 87007
Phone: (505) 552-1102
Fax: (505) 552-6577

The provider's authorized official is Miles King .
The authorized official title is Chief Financial Officer and has the following contact phone number (505) 552-5779.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 10/22/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport54194NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100NM00RC01OTHERNEW MEXICOBCBS OF NM
2R0225MEDICAIDNEW MEXICO
3964678MEDICAIDARIZONA
4201078520OTHERNEW MEXICOPRESBYTERIAN HEALTH PLAN
510014280OTHERNEW MEXICOLOVELACE SALUD
6P00189254MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICORAILROAD MEDICARE
7400521202MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/14/2023

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