Organization Name: | VILLAGE OF QUESTA N MEX |
NPI Number: | 1104954528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSH T WRIGHT (EMS CAPTAIN) |
Mailing Address: | 2463 Hwy 522 Questa |
State: | NM US |
Postal Code: | 87556 |
Phone Number: | 5055860250 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 54294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |