Organization
LIVING CROSS AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRIS (PRESIDENT)
(505) 869-0800
Entity
Organization
Contact information
Practice address
1355 WEST BOSQUE LOOP, BOSQUE FARMS, NM 87068-9271
(505) 869-0800
(505) 869-8242
Mailing address
P.O. BOX 888, PERALTA, NM 87042-0888
(505) 869-0800
(505) 869-8242
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
02-066619-00-5
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71132
—
NM
Enumeration date
10/02/2006
Last updated
08/22/2020
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