Organization
VILLAGE OF MAGDALENA
Active
Other names
Magdalena Volunteer Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHANIE E FINCH (CLERK/TREASURER)
(575) 854-2261
Entity
Organization
Contact information
Practice address
700 1ST STREET, MAGDALENA, NM 87825-1141
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
52888
NM
3416L0300X
Land Ambulance
Primary
SCC 52888
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96082364
—
NM
01
—
PENDING
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/15/2006
Last updated
06/08/2017
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