| Organization Name: | VILLAGE OF SAN JON |
| NPI Number: | 1740408756 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE L. STONER (OFFICIAL) |
| Mailing Address: | 414 E. Elm San Jon |
| State: | NM US |
| Postal Code: | 88434 |
| Phone Number: | 5055762922 |
| Fax Number: | 5055762722 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 03/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 02690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |