Organization
LINCOLN COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GARCIA (VP REGIONAL OPERATIONS)
(505) 923-5339
Entity
Organization
Contact information
Practice address
211 SUDDERTH, RUIDOSO, NM 88345
(505) 257-8297
(505) 257-3617
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
3416L0300X
Land Ambulance
Primary
123411
NM
Other
Enumeration date
12/13/2005
Last updated
08/09/2010
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