Provider Demographics
NPI:1063171098
Name:BERNALILLO COUNTY
Entity type:Organization
Organization Name:BERNALILLO COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIVISION CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-468-1302
Mailing Address - Street 1:6840 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6050
Mailing Address - Country:US
Mailing Address - Phone:505-468-1302
Mailing Address - Fax:
Practice Address - Street 1:6840 2ND ST NW STE 207
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-6050
Practice Address - Country:US
Practice Address - Phone:505-468-1302
Practice Address - Fax:505-462-9749
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BERNALILLO COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-17
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport