Organization · Type 2 NPI

County of Roosevelt

Land Ambulance · Portales, NM

NPI number 1093034928 Active

Practice location

1578 New Mexico 88
Portales, NM 88130-9669

Fax (575) 356-8307

Mailing address

PO Box 641880
Omaha, NE 68164-7880

Specialties and licenses

TaxonomyCodeLicense
Ambulance 341600000X52863 (NM)
Land Ambulance Primary 3416L0300X52863 (NM)

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About NPI 1093034928

County of Roosevelt's National Provider Identifier is 1093034928, issued on May 17, 2010. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Portales, NM. The record was last updated on May 17, 2016.