Organization
VILLAGE OF ANGEL FIRE
Active
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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