Provider Demographics
NPI:1013047349
Name:COUNTY OF TAOS
Entity Type:Organization
Organization Name:COUNTY OF TAOS
Other - Org Name:TAOS COUNTY EMERGENCY SERVICE DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-737-6430
Mailing Address - Street 1:105 ALBRIGHT ST STE U
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6170
Mailing Address - Country:US
Mailing Address - Phone:505-737-6430
Mailing Address - Fax:
Practice Address - Street 1:105 ALBRIGHT ST
Practice Address - Street 2:STE. U
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6169
Practice Address - Country:US
Practice Address - Phone:505-737-6430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR2965Medicaid