Village of Logan

NPI #1639399058 in Logan, New Mexico

Provider Information

NPI Number: 1639399058
Entity Type: Organization
Organization Name: Village of Logan
Primary Specialty: Ambulance
Enumeration Date: Apr 26, 2007
Last Updated: Feb 7, 2025

Practice Location

Address: 108A US HWY 54
City: Logan
State: New Mexico
ZIP Code: 88426
Phone: (505) 487-2234

Authorized Official

Name: JUSTIN LEBLANC
Title: EMS DIRECTOR
Phone: (575) 403-6870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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