Organization · Type 2 NPI

Village of San Jon

Land Ambulance · San Jon, NM

NPI number 1740408756 Active

Practice location

414 E. Elm
San Jon, NM 88434

Call (505) 576-2922 Map

Fax (505) 576-2722

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237

Specialties and licenses

Taxonomy	Code	License
Land Ambulance Primary	3416L0300X	02690 (NM)

Land Ambulance: Definition to come...

NPI record

NPI: 1740408756
Entity type: Organization (Type 2)
Issued: Apr 23, 2007
Last updated: Aug 21, 2023
Status: Active

Other names

<unavail>
San Jon Cooperative Ambulance · other name
San Jon Cooperative Ambulance · other name

Authorized official

Mr. Debbie L. Stoner, EMT-I
Official
(575) 403-8463

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1740408756

Village of San Jon's National Provider Identifier is 1740408756, issued on Apr 23, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in San Jon, NM. The record was last updated on Aug 21, 2023.