Organization
CITY OF DEXTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN POWELL (EMS DIRECTOR)
(505) 734-5482
Entity
Organization
Contact information
Practice address
200 E. 2ND ST, DEXTER, NM 88230
(505) 734-5482
(505) 734-6605
Mailing address
PO BOX 249, DEXTER, NM 88230-0249
(505) 734-5482
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070866
—
NM
Enumeration date
02/23/2007
Last updated
07/31/2007
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