Organization
VILLAGE OF DES MOINES
Active
Other names
DES MOINES AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOSEPH BRIESH JR. EMT - I (EMS DIRECTOR)
(575) 278-2101
Entity
Organization
Contact information
Practice address
77 NORTH OLIVE ST, DES MOINES, NM 88418
(575) 278-3911
(575) 278-2106
Mailing address
PO BOX 127, DES MOINES, NM 88418-0127
(575) 278-2127
(575) 278-2126
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20699
EMS/AMBULANCE STATE CERTIFICATION NUMBER
NM
Enumeration date
04/09/2010
Last updated
04/09/2010
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