Organization
SOUTHWEST AIR AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYNN LONGENBAUGH (A/R MANAGER)
(928) 368-6799
Entity
Organization
Contact information
Practice address
670 WINGSPAN # DRIVE2, LAS CRUCES, NM 88007-9007
(505) 525-2660
Mailing address
PO BOX 640, FAIRACRES, NM 88033-0640
(505) 525-2660
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
F00006
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528237
—
TX
05
—
H3777
—
NM
Enumeration date
10/10/2007
Last updated
10/10/2007
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