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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
Other Name | Type Code |
---|---|
Santo Domingo EMS | Doing Business As Name - Organization |
Street Address |
#1 TESUQUE ST. EMS HEADQUARTERS |
City | SANTO DOMINGO PUEBLO |
State | NM |
Zip Code | 87052 |
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 Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | SANTO DOMINGO PUEBLO |
Zip Code | 87052 |
Please comment or provide details below to improve the information on SANTO DOMINGO TRIBE.
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.