Organization
SUPERIOR AMBULANCE OF TORRANCE COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS L ARCHULETA (PRESIDENT)
(505) 247-8840
Entity
Organization
Contact information
Practice address
34 CARL CANNON RD, MORIARITY, NM 87035
(505) 247-8840
(505) 830-1260
Mailing address
PO BOX 6913, ALBUQUERQUE, NM 87197-6913
(505) 247-8840
(505) 830-1260
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
131132
NM
3416L0300X
Land Ambulance
131132
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77486790
—
NM
Enumeration date
01/02/2007
Last updated
11/15/2012
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