Provider Demographics
NPI:1033142443
Name:INCORPORATED COUNTY OF LOS ALAMOS
Entity Type:Organization
Organization Name:INCORPORATED COUNTY OF LOS ALAMOS
Other - Org Name:LOS ALAMOS COUNTY FIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-709-5042
Mailing Address - Street 1:999 CENTRAL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-3328
Mailing Address - Country:US
Mailing Address - Phone:505-662-8318
Mailing Address - Fax:505-662-8302
Practice Address - Street 1:999 CENTRAL AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-3330
Practice Address - Country:US
Practice Address - Phone:505-662-8318
Practice Address - Fax:505-662-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM410363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM201080137OtherPRESBYTERIAN SALUD
4074870OtherBLUE CROSS/BLUE SHIELD
G008A95OtherMUTUAL OF OMAHA
00NM00R031OtherBLUE CROSS/BLUE SHIELD
NM000R2247Medicaid
3142OtherKAISER PERMANENTE
201080137OtherPRESBYTERIAN INSURANCE C
13847OtherPRESBYTERIAN HEALTH PLAN
NM201080137OtherPRESBYTERIAN SALUD
3142OtherKAISER PERMANENTE
=========OtherUNITED HEALTHCARE
========= 87544 0001OtherWPS TRICARE ADMIN
13847OtherPRESBYTERIAN HEALTH PLAN
4074870OtherBLUE CROSS/BLUE SHIELD
3142OtherKAISER PERMANENTE