Organization
PUEBLO OF LAGUNA
Active
Other names
Laguna Fire& Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILES KING (CHIEF FINANCIAL OFFICER)
(505) 552-5779
Entity
Organization
Contact information
Practice address
5 BLUE STAR LOOP, PARAJE, NM 87007
(505) 552-1102
(505) 552-6577
Mailing address
PO BOX 179, LAGUNA, NM 87026-0179
(505) 552-5796
(505) 552-6941
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
54194
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00RC01
BCBS OF NM
NM
01
—
10014280
LOVELACE SALUD
NM
01
—
201078520
PRESBYTERIAN HEALTH PLAN
NM
05
—
964678
—
AZ
05
—
R0225
—
NM
Enumeration date
12/06/2006
Last updated
10/22/2009
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