Organization
TOWN OF ELIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY J SUMMERS (TREASURER)
(575) 274-6465
Entity
Organization
Contact information
Practice address
405 CLARK ST, ELIDA, NM 88116
(575) 274-6373
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
38955
NM
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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