VILLAGE OF RUIDOSO AMBULANCE (NPI# 1447235320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447235320 |
Entity Type | Organization |
Organization Name | VILLAGE OF RUIDOSO AMBULANCE |
Practice Address |
211 Sudderth Dr Ruidoso NM 88345-6002 |
Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
Practice Telephone | 5052578297 |
Practice Fax Number | 5052573617 |
Mailing Telephone | 5058238528 |
Mailing Fax Number | 5058238555 |
Enumeration Date | 2005-12-13 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARK REIFSTECK (SR VP CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 5058411392 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6052 | NM | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 00224 | 05 |
Street Address |
211 SUDDERTH DR |
City | RUIDOSO |
State | NM |
Zip Code | 88345-6002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376545418 | Michael David Noltensmeyer | Nurse Anesthetist, Certified Registered | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2005-06-01 |
1144843491 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-05-21 |
1285253682 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2020-04-15 |
1144791435 | Michael Padilla | Pharmacist | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2018-12-11 |
1932659000 | Natalie Mcelhany | Nurse Practitioner | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-10-12 |
1184170185 | Francisco J Vargas Nava | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2016-08-30 |
1396802864 | Presbyterian Healthcare Services | Emergency Medicine | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2007-01-03 |
1932209822 | Charles L Pfaff | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-09-22 |
1124039235 | Lincoln County Radiology LLC | Radiology | 211 Sudderth Dr, Ruidoso, NM 88345 | 2006-08-11 |
1376552810 | Paul S Gulbas | Ophthalmology | 211 Sudderth Dr, Ruidoso, NM 88345-6002 | 2006-08-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
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Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.