Organization
COUNTY OF ROOSEVELT
Active
Other names
MILNESAND VOLUNTEER FIRE DISTRICT AND ARCH VOLUNETEER FIRE DISTRICT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMMY A LEE (MANAGER)
(575) 356-5307
Entity
Organization
Contact information
Practice address
4607 NEW MEXICO 206, MILNESAND, NM 88125-9724
(575) 675-2411
(575) 675-2379
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
52863
NM
3416L0300X
Land Ambulance
Primary
52863
NM
Other
Enumeration date
06/18/2010
Last updated
07/26/2011
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