Friends of Mount Taylor Ambulance

NPI #1457851016 in Grants, New Mexico

Provider Information

NPI Number: 1457851016
Entity Type: Organization
Organization Name: Friends of Mount Taylor Ambulance
Primary Specialty: Ambulance
Enumeration Date: Feb 20, 2018
Last Updated: Feb 20, 2018

Practice Location

Address: 1213 PEEL ST
City: Grants
State: New Mexico
ZIP Code: 87020-3511
Phone: (505) 287-2289

Authorized Official

Name: MR. THOMAS E HABIGER
Title: PRESIDENT
Phone: (505) 287-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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