| Organization Name: | VILLAGE OF CAUSEY |
| NPI Number: | 1386630242 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | T. ANN CLARK (EMS CAPTAIN) |
| Mailing Address: | 116 Main St Box 79 Causey |
| State: | NM US |
| Postal Code: | 881139717 |
| Phone Number: | 5052734249 |
| Fax Number: | 5052734248 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146M00000X |
| License Number: | 0323312 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Intermediate |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |