Organization
SANTA FE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORIE M. MULLINGS (BILLING MANAGER)
(505) 992-3071
Entity
Organization
Contact information
Practice address
35 CAMINO JUSTICIA, SANTA FE, NM 87508-8501
(505) 992-3071
(505) 992-3073
Mailing address
35 CAMINO JUSTICIA, SANTA FE, NM 87508-8501
(505) 992-3071
(505) 992-3073
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
42343
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R2882
—
NM
Enumeration date
05/27/2005
Last updated
11/19/2009
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