VILLAGE OF CLOUDCROFT; NPI #1891828554

Contact Information

VILLAGE OF CLOUDCROFT

1100 JAMES CANYON HWY
CLOUDCROFT, NM 88317-0317

Phone: 505-682-3409
Fax: 505-682-1102
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for VILLAGE OF CLOUDCROFT

NPI Number 1891828554

LBN Legal business name VILLAGE OF CLOUDCROFT

Authorized official STEVE GRULKE - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/13/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

Medicaid

A2667

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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