Jicarilla Ems is a Land Transport in Dulce, New Mexico. Jicarilla Ems practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Jicarilla Ems is 1477684447. The last update date is 2013-02-21.
Jicarilla Ems's current location address is Pob 769, Dulce, New Mexico. You can contact this provider via phone number 5757593778 and fax number 5757593841. The mailing address for Jicarilla Ems is Pob 769, Dulce, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jicarilla Ems |
|---|---|
| Address | Pob 769, Dulce, New Mexico |
| Phone Number | 5757593778 |
| Fax Number | 5757593841 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACTING DIR |
|---|---|
| Authorized Official Name | Burns Dawn |
| Telephone Number | 5757593778 |
NPI Number Detail
| NPI Number | 1477684447 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-02-21 |
Provider Mailing Address Detail
| Address | Pob 769 |
|---|---|
| City | Dulce |
| State | New Mexico (NM) |
| Post Code | 87528 |
| Phone Number | 5757593778 |
| Fax Number | 5757593841 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | 47495 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| R134 | NM | BLUE CROSS BLUE SHIELD | |
| R2939 | NM | -- |
Post Comment/ Review Below
What is the Jicarilla Ems's unique identification number?
The Jicarilla Ems has been assigned the NPI (National Provider Identifier) Number 1477684447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jicarilla Ems is geographically located?
The Jicarilla Ems is physically situated at the following location: Pob 769, Dulce, NM, 87528.
What is Jicarilla Ems's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jicarilla Ems is Land Transport, and the taxonomy classification code that categorizes this area of expertise is 3416L0300X.
On what date did Jicarilla Ems receive its 1477684447 assignment from the Centers for Medicare & Medicaid Services?
The Jicarilla Ems was assigned its 1477684447 on 2007-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jicarilla Ems most recently updated or revised?
The information pertaining to Jicarilla Ems, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-21.
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