Organization
CITY OF MOUNTAINAIR
Active
Other names
Mountainair Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM E BLACKSHEAR (AMBULANCE CHIEF)
(505) 847-2316
Entity
Organization
Contact information
Practice address
105 ACOMA, MOUNTAINAIR, NM 87036-0591
(505) 847-2321
(505) 847-0421
Mailing address
4501 OSUNA RD NE, ALBUQUERQUE, NM 87109-4467
(505) 226-1800
(505) 247-2482
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
14303
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R2809
—
NM
Enumeration date
04/13/2007
Last updated
04/16/2018
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