National Provider Identifier Database

VILLAGE OF LOGAN
Ambulance

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).


Contact Information

VILLAGE OF LOGAN
108A US HWY 54
LOGAN, NM88426
Phone: 505-487-2234
Fax: 505-487-2400
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for VILLAGE OF LOGAN

NPI Number 1639399058
Legal business name
LBN
VILLAGE OF LOGAN
Authorized official JUSTIN LEBLANC - (EMS DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/26/2007
Last updated 02/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 12549
  • NM Medicaid: R2577
  • NM Other: R170 BCBS
  • NM Other: 39910 PRES SALUD, MEDICAID
  • NM Other: 590005180 RAILROAD MEDICARE
  • NM Other: C253004 UNITED AMERICA
  • NM Other: 8182424 UNITED HEALTHCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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