Organization
CITY OF PORTALES
Active
Parent organization
CITY OF PORTALES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF PORTALES
Authorized official
DANIELLE SWOPES (CITY CLERK)
(575) 356-3158
Entity
Organization
Contact information
Practice address
301 S AVE C, PORTALES, NM 88130
(575) 356-4406
(575) 359-0925
Mailing address
1028 COMMUNITY WAY, PORTALES, NM 88130
(575) 356-6662
(575) 563-3158
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
12434
NM
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
AMBULANCE
NM
05
—
R1272
—
NM
Enumeration date
07/31/2006
Last updated
10/15/2024
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