Organization
THOREAU AMBULANCE SERVICE
Active
Parent organization
COUNTY OF MCKINLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF MCKINLEY
Authorized official
KENNETH HOFFMAN (EMS CHIEF)
(505) 862-7482
Entity
Organization
Contact information
Practice address
#65 FIRST ST, THOREAU, NM 87323
(505) 862-7482
(505) 863-7486
Mailing address
PO BOX 1115, THOREAU, NM 87323-1115
(505) 862-7482
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
19999
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R4623
—
NM
01
—
590012242
RAILROAD MEDICARE
NM
Enumeration date
08/22/2006
Last updated
05/31/2012
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