Provider Demographics
NPI:1295779312
Name:COUNTY OF CATRON
Entity type:Organization
Organization Name:COUNTY OF CATRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AYMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-533-6423
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:RESERVE
Mailing Address - State:NM
Mailing Address - Zip Code:87830-0507
Mailing Address - Country:US
Mailing Address - Phone:575-533-6423
Mailing Address - Fax:575-533-6433
Practice Address - Street 1:100 MAIN STREET
Practice Address - Street 2:
Practice Address - City:RESERVE
Practice Address - State:NM
Practice Address - Zip Code:87830-0507
Practice Address - Country:US
Practice Address - Phone:575-533-6423
Practice Address - Fax:575-533-6433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
NM341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMR0035Medicaid
NMR0035Medicaid