Provider Demographics
NPI:1003323700
Name:ALAMO RV TRUCK CENTER LLC
Entity Type:Organization
Organization Name:ALAMO RV TRUCK CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:N
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-434-3783
Mailing Address - Street 1:7023 HIGHWAY 54 70
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-9138
Mailing Address - Country:US
Mailing Address - Phone:575-434-3783
Mailing Address - Fax:575-437-9992
Practice Address - Street 1:7023 HIGHWAY 54 70
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-9138
Practice Address - Country:US
Practice Address - Phone:575-434-3783
Practice Address - Fax:575-437-9222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Single Specialty
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty