| Organization Name: | PECOS VALLEY AMBULANCE SERVICE |
| NPI Number: | 1891910295 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SIGRID OLSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 521 Hwy 50 Pecos |
| State: | NM US |
| Postal Code: | 875520710 |
| Phone Number: | 5057576482 |
| Fax Number: | 5057572700 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |