Jackie A Mackey in San Fidel - Emergency Medical Technician, Intermediate

Jackie A Mackey - NPI 1154592517

Jackie A Mackey is a Emergency Medical Technician, Intermediate in San Fidel, New Mexico. Jackie A Mackey practices all healthcare services and medical treatments related to Emergency Medical Technician, Intermediate. The NPI Number for Jackie A Mackey is 1154592517. The last update date is 2008-03-13.

Jackie A Mackey's current location address is Exit 102 Off I - 40 1/2 Mi South, San Fidel, New Mexico. You can contact this provider via phone number 5055525385 and fax number 5055525473. The mailing address for Jackie A Mackey is Exit 102 Off I - 40 1/2 Mi South, San Fidel, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jackie A Mackey
Address Exit 102 Off I - 40 1/2 Mi South, San Fidel, New Mexico
Phone Number 5055525385
Fax Number 5055525473
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1154592517
Provider Enumeration Date 2008-03-13
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address Exit 102 Off I - 40 1/2 Mi South
City San Fidel
State New Mexico (NM)
Post Code 870490130
Phone Number 5055525385
Fax Number 5055525473

Provider's Primary Taxonomy Detail

Speciality Emergency Medical Technician, Intermediate
Taxonomy 146M00000X
Licence No 3000684
Definition:
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.

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FAQs about Jackie A Mackey

What is the unique 10-digit identification code issued to Jackie A Mackey by the Centers for Medicare & Medicaid Services?

The Jackie A Mackey has been assigned the NPI (National Provider Identifier) 1154592517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Jackie A Mackey is physically located?

The Jackie A Mackey is physically situated at the following address: Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM, 870490130.

What is Jackie A Mackey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jackie A Mackey's specialized field of practice is Emergency Medical Technician, Intermediate, and the corresponding taxonomy code that categorizes this area of specialization is 146M00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154592517 to Jackie A Mackey?

The Centers for Medicare & Medicaid Services originally issued the 1154592517 to Jackie A Mackey on 2008-03-13.

As of what date were the details pertaining to Jackie A Mackey last refreshed?

The information related to the Jackie A Mackey, including its address, specialty, and other relevant details, was last updated on 2008-03-13.

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