Organization
PUEBLO OF ACOMA
Active
Other names
Acoma Fire Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARBARA A VAUGHN (AGENT)
(402) 991-7866
Entity
Organization
Contact information
Practice address
74 PINSBAARI DR, ACOMA, NM 87034-1001
(505) 552-7500
(505) 552-9470
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 991-7866
(505) 552-9470
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
54980
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54980
NM PRC
NM
Enumeration date
04/09/2009
Last updated
04/25/2025
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