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Contact Information

CITY OF MOUNTAINAIR
105 ACOMA
MOUNTAINAIR, NM87036-0591
 Phone: 505-847-2321
 Fax: 505-847-0421
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for CITY OF MOUNTAINAIR

NPI # 1053535450
LBN Legal business name CITY OF MOUNTAINAIR
Authorized official SAM BLACKSHEAR - (AMBULANCE CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2007
Last updated 04/16/2018 - About 8 years ago
Identifiers
NM License # 14303
NM Medicaid R2809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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