Organization
HERITAGE EMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE KING (PRESIDENT)
(575) 305-5571
Entity
Organization
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 305-5571
Mailing address
5386 SANTA TERESITA DR, SANTA TERESA, NM 88008-9204
(575) 305-5571
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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