Organization
VILLAGE OF DORA
Active
Other names
Village of Dora Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY FRAZE (CLERK)
(575) 477-2411
Entity
Organization
Contact information
Practice address
220 AVE A, DORA, NM 88115-0308
(575) 477-2411
(575) 477-2418
Mailing address
PO BOX 308, 220 AVE A, DORA, NM 88115-0308
(575) 477-2411
(575) 477-2418
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
38200
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323355
EMS SERVICE NO.
NM
01
—
38200
STATE SCC REG. AMB. SERV
NM
Enumeration date
12/22/2005
Last updated
04/09/2009
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