Provider Demographics
NPI:1225265242
Name:VILLAGE OF FLOYD
Entity Type:Organization
Organization Name:VILLAGE OF FLOYD
Other - Org Name:FLOYD AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VILLAGE CLERK
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:M
Authorized Official - Last Name:WHITECOTTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-478-2585
Mailing Address - Street 1:1572 NEW MEXICO 267
Mailing Address - Street 2:PO BOX 69
Mailing Address - City:FLOYD
Mailing Address - State:NM
Mailing Address - Zip Code:88118-0069
Mailing Address - Country:US
Mailing Address - Phone:575-478-2585
Mailing Address - Fax:575-478-2585
Practice Address - Street 1:1572 NEW MEXICO 267
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:NM
Practice Address - Zip Code:88118-0069
Practice Address - Country:US
Practice Address - Phone:575-478-2585
Practice Address - Fax:575-478-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport