Provider Demographics
NPI:1487188785
Name:BOARD OF COMMISSIONERS CITY OF LAS CRUCES
Entity Type:Organization
Organization Name:BOARD OF COMMISSIONERS CITY OF LAS CRUCES
Other - Org Name:LAS CRUCES FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-528-4074
Mailing Address - Street 1:N2930 STATE ROAD 22
Mailing Address - Street 2:
Mailing Address - City:WAUTOMA
Mailing Address - State:WI
Mailing Address - Zip Code:54982-5267
Mailing Address - Country:US
Mailing Address - Phone:888-777-4911
Mailing Address - Fax:855-642-7228
Practice Address - Street 1:201 E PICACHO
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-3456
Practice Address - Country:US
Practice Address - Phone:575-528-3473
Practice Address - Fax:575-528-4082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF COMMISSIONERS CITY OF LAS CRUCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-13
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport