Organization
VILLAGE OF SAN JON
Active
Other names
San Jon Cooperative Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEBBIE L. STONER EMT-I (OFFICIAL)
(575) 403-8463
Entity
Organization
Contact information
Practice address
414 E. ELM, SAN JON, NM 88434
(505) 576-2922
(505) 576-2722
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02690
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02690
STATE LICENSE
NM
Enumeration date
04/23/2007
Last updated
08/21/2023
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