Organization
MESCALERO APACHE TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF NUNNALLY (EMS COORDINATOR)
(575) 973-4371
Entity
Organization
Contact information
Practice address
25220 HIGHWAY 70, MESCALERO, NM 88340
(575) 464-3473
(575) 464-3474
Mailing address
PO BOX 70, MESCALERO, NM 88340-0070
(575) 464-3473
(575) 464-3474
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
01/24/2017
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