Organization
INCORPORATED COUNTY OF LOS ALAMOS
Active
Other names
Los Alamos County Fire
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DADZIE (CHIEF FINANCIAL OFFICER)
(505) 662-8018
Entity
Organization
Contact information
Practice address
999 CENTRAL AVE, SUITE 200, LOS ALAMOS, NM 87544-3330
(505) 662-8318
(505) 662-8302
Mailing address
999 CENTRAL AVE STE 200, LOS ALAMOS, NM 87544-3328
(505) 662-8318
(505) 662-8302
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
41036
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R2247
—
NM
01
—
00NM00R031
BLUE CROSS/BLUE SHIELD
—
01
—
13847
PRESBYTERIAN HEALTH PLAN
—
01
—
201080137
PRESBYTERIAN SALUD
NM
01
—
201080137
PRESBYTERIAN INSURANCE C
—
01
—
3142
KAISER PERMANENTE
—
01
—
4074870
BLUE CROSS/BLUE SHIELD
—
01
—
G008A95
MUTUAL OF OMAHA
—
Enumeration date
07/09/2006
Last updated
02/16/2026
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