VILLAGE OF CAUSEY (NPI# 1386630242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386630242 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF CAUSEY |
| Practice Address |
116 Main St Box 79 Causey NM 88113-9717 |
| Practice Telephone | 5052734249 |
| Practice Fax Number | 5052734248 |
| Mailing Telephone | 5052734249 |
| Mailing Fax Number | 5052734248 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | T. ANN CLARK (EMS CAPTAIN) |
| Authorized Official Telephone | 5052734249 |
| Authorized Official Credential | EMT-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | 0323312 | NM | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | R2916 | 05 |
| Street Address |
116 MAIN ST BOX 79 |
| City | CAUSEY |
| State | NM |
| Zip Code | 88113-9717 |
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902177371 | Donald A Whiting IIi | Emergency Medical Technician, Intermediate | Exit 102 Off I-40 1/2 Mile South, San Fidel, NM 87049-0130 | 2012-01-18 |
| 1538345129 | Robert Holloway | Emergency Medical Technician, Intermediate | Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130 | 2008-01-14 |
| 1891847646 | Thomas J Habiger | Emergency Medical Technician, Intermediate | 1213 Peel St, Grants, NM 87020-3511 | 2007-01-18 |
| 1295734655 | Tom L White | Emergency Medical Technician, Intermediate | 4130 W Texas St, Carlsbad, NM 88220-2844 | 2005-07-19 |
| 1841629052 | Samuel Blea | Emergency Medical Technician, Intermediate | 606 Colbert Avenue, Springer, NM 87747-0488 | 2013-11-07 |
| 1154592517 | Jackie A Mackey | Emergency Medical Technician, Intermediate | Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130 | 2008-03-13 |
| 1376713651 | Jeremey A Gallegos | Emergency Medical Technician, Intermediate | Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130 | 2008-03-03 |
| 1386821023 | Valerieg Gallegos | Emergency Medical Technician, Intermediate | Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130 | 2008-01-24 |
Please comment or provide details below to improve the information on VILLAGE OF CAUSEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.