Organization
VILLAGE OF ANGEL FIRE
Active
Other names
Angel Fire EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO SANDOVAL (FIRE DEPARTMENT CHIEF)
(505) 377-3347
Entity
Organization
Contact information
Practice address
11 N ANGEL FIRE ROAD, ANGEL FIRE, NM 87710
(505) 377-3347
(505) 377-6098
Mailing address
PO BOX 610, ANGEL FIRE, NM 87710-0610
(505) 377-3347
(505) 377-6098
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
G53792
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0175
—
NM
Enumeration date
10/01/2007
Last updated
08/29/2008
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