Organization
PUEBLO OF ISLETA
Active
Parent organization
PUEBLO OF ISLETA
Other names
PUEBLOF OF ISLETA EMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUEBLO OF ISLETA
Authorized official
MRS. VOLELLE K ZAMORA (CEO)
(505) 869-4094
Entity
Organization
Contact information
Practice address
01 SAGEBRUSH, ISLETA, NM 87022
(505) 869-4863
(505) 869-4881
Mailing address
PO BOX 640, ISLETA, NM 87022
(505) 869-4863
(505) 869-4881
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
39284
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R2759
—
NM
Enumeration date
10/23/2006
Last updated
05/17/2017
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