Organization
TOWN OF CLAYTON
Active
Other names
Clayton Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BARNES (CLERK TREASURER)
(575) 374-8331
Entity
Organization
Contact information
Practice address
1 CHESTNUT STREET, CLAYTON, NM 88415
(505) 374-8331
(505) 374-8497
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
14760
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0580613
—
IA
05
—
162330801
—
TX
05
—
201080024
—
NM
01
—
590005160
RAILROAD MEDICARE
—
01
—
NM00R021
BLUE CROSS BLUE SHIELD
NM
05
—
R0712
—
NM
Enumeration date
10/03/2006
Last updated
05/01/2024
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