Organization
ROSEBUD FIRE & RESCUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L CAMPBELL EMT-B (EMS COORDINATOR)
(505) 673-2326
Entity
Organization
Contact information
Practice address
1361 BRAVO DOME HIGHWAY, AMISTAD, NM 88410
(505) 673-2851
(505) 673-2423
Mailing address
250 BRAVO DOME HWY, BUEYEROS, NM 88415-7272
(505) 673-2326
(505) 673-2423
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
312339
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245740
PRC
NM
01
—
312339
NEW MEXICO
NM
Enumeration date
09/07/2007
Last updated
07/26/2008
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