Organization Name: | ACOMA CANONCITO LAGUNA INDIAN |
NPI Number: | 1649462532 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA FELIPE (ACL IHS CEO) |
Mailing Address: | Exit 102 Off I-40 1/2 Mi South San Fidel |
State: | NM US |
Postal Code: | 870490130 |
Phone Number: | 5055525385 |
Fax Number: | 5055525490 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 341600000X |
License Number: | 14909596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |