National Provider Identifier Database

ACOMA CANONCITO LAGUNA INDIAN
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

ACOMA CANONCITO LAGUNA INDIAN
EXIT 102 OFF I-40 1/2 MI SOUTH
SAN FIDEL, NM87049-0130
Phone: 505-552-5385
Fax: 505-552-5490
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for ACOMA CANONCITO LAGUNA INDIAN

NPI Number 1649462532
Legal business name
LBN
ACOMA CANONCITO LAGUNA INDIAN
Authorized official BARBARA FELIPE - (ACL IHS CEO)
Entity Organization
Organization subpart No
Enumeration date 08/14/2007
Last updated 01/11/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 14909596
  • NM Medicaid: 14909596
  • Other: 320070 MEDICARE PART A

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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