SANTO DOMINGO TRIBE


Address: #1 Tesuque St., Ems Headquarters, Santo Domingo Pueblo, NM 87052
Phone: 5054652214

SANTO DOMINGO TRIBE (NPI# 1679766489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679766489
Entity Type Organization
Organization Name SANTO DOMINGO TRIBE
Other Organization Name SANTO DOMINGO EMS
Practice Address #1 Tesuque St.
Ems Headquarters
Santo Domingo Pueblo
NM 87052
Mailing Address Po Box 99
Santo Domingo Pueblo
NM 87052
Practice Telephone 5054652214
Practice Fax Number 5054652688
Mailing Telephone 5054652214
Mailing Fax Number 5054652688
Enumeration Date 2007-08-24
Last Update Date 2009-07-31
Authorized Official Name MR. MATT WILLIAMS (EMS DIRECTOR)
Authorized Official Telephone 5054652214
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
Transportation Services

Other Provider/Organization Names

Other Name Type Code
Santo Domingo EMS Doing Business As Name - Organization

Office Location

Street Address #1 TESUQUE ST.
EMS HEADQUARTERS
City SANTO DOMINGO PUEBLO
State NM
Zip Code 87052

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902353972 Karin Luzzi Registered Nurse 100 Highway 22 W, Santo Domingo, NM 87052 2016-09-07
1043676273 Kyle Maestas Physician Assistant 85 West Hwy 22, Santo Domingo, NM 87052 2016-01-04
1639579352 Cynthia Brooks Registered Nurse 85 West Highway 22 Santo Domingo Health Center, Santo Domingo, NM 87052 2014-08-29
1720335219 Samantha Nicole Torres Pharmacist 85 W Hwy 22, Santo Domingo, NM 87052 2012-08-14
1780835504 Roger L Leonard Clinic/Center #85 West Hwy 22, Santo Domingo, NM 87052 2008-10-10
1326165994 Santa Domingo Ihs Pharmacy Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 340 San Ildefonso St, Santa Domingo, NM 87052 2007-03-26
1467509612 Andrea Heeter Specialist/Technologist Santo Domingo Health Center, 85 Hwy 22, Santo Domingo, NM 87052 2007-01-03
1164531950 Jonathan Neil Trujillo Pharmacist 85 West Highway 22, Santo Domingo Health Center, Santo Domingo, NM 87052 2006-08-29
1053920520 John Patirck Pagett Registered Nurse 85 West Highway 22, Santo Domingo Pueblo, NM 87052 2020-07-30
1700397593 Christina S Cruz Registered Nurse 85 West Highway 22, Santo Domingo Pueblo, NM 87052 2017-10-19
Find all providers in zip 87052

Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720568074 County of Harding Ambulance 1361 Bravo Dome Hwy, Amistad, NM 88411 2018-08-16
1487188785 Las Cruces Fire Department Ambulance 201 E Picacho Ave, Las Cruces, NM 88001-3456 2017-04-13
1891100137 County of Union Ambulance 338 Dodge St, Folsom, NM 88419-0370 2014-06-25
1043641558 Mescalero Apache Tribe Ambulance 25220 Highway 70, Mescalero, NM 88340 2013-12-09
1104267350 Town of Elida Ambulance 405 Clark St, Elida, NM 88116 2013-07-16
1306284682 City of Moriarty Ambulance 201 Broadway Se, Moriarty, NM 87035 2013-06-10
1457606147 Western States C.c.t. Inc Ambulance 424 Harris Rd, Las Vegas, NM 87701-4840 2012-07-18
1508182007 Village of Des Moines Ambulance 77 North Olive St, Des Moines, NM 88418 2010-04-09
1225265242 Village of Floyd Ambulance 1572 New Mexico 267, Floyd, NM 88118-0069 2009-06-17
1679716419 Pueblo of Acoma Ambulance 74 Indian Service, Route 32, Acoma, NM 87034-0000 2009-04-09
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Competitor

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City SANTO DOMINGO PUEBLO
Zip Code 87052

Improve Information

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Dataset Information

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.

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