Organization · Type 2 NPI

Jjdac, LLC

Land Ambulance · Gallup, NM

NPI number 1922514686 Active

Practice location

208 W Maloney Ave
Gallup, NM 87301-5214

Call (505) 722-5295 Map

Fax (575) 523-0459

Mailing address

PO Box 56141
Los Angeles, CA 90074-6141

Specialties and licenses

Taxonomy	Code	License
Ambulance	341600000X	None listed
Land Ambulance Primary	3416L0300X	None listed

Land Ambulance: Definition to come...

Other land ambulance providers in Gallup

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NPI record

NPI: 1922514686
Entity type: Organization (Type 2)
Issued: Dec 18, 2017
Last updated: Mar 25, 2026
Status: Active
Subpart: Yes of Jjdac, LLC

Other names

<unavail>
Med Star Ambulance · doing business as
Med Star Ambulance · other name

Authorized official

Brian Scott Tierney
EVP, Chief Financial Officer
(833) 703-2294

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About NPI 1922514686

Jjdac, LLC's National Provider Identifier is 1922514686, issued on Dec 18, 2017. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Gallup, NM. The record was last updated on Mar 25, 2026.