Organization
CITY OF RATON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTY RUSSELL (EMS CHIEF)
(575) 445-2708
Entity
Organization
Contact information
Practice address
127 CLARK AVE, RATON, NM 87740
(575) 445-2708
(575) 445-2709
Mailing address
PO BOX 910, RATON, NM 87740-0910
(575) 445-2708
(575) 445-2709
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R1330
—
NM
01
—
00NM00R018
BCBS PROVIDER NUMBER
NM
01
—
590005125
RRMC PROVIDER NUMBER
NM
Enumeration date
10/31/2006
Last updated
03/06/2026
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