Provider Demographics
NPI:1427081298
Name:CITY OF DEMING
Entity type:Organization
Organization Name:CITY OF DEMING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF/EMS SERVICE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JEWEL
Authorized Official - Last Name:KINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-546-8848
Mailing Address - Street 1:PO BOX 706
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:NM
Mailing Address - Zip Code:88031-0706
Mailing Address - Country:US
Mailing Address - Phone:505-546-8848
Mailing Address - Fax:505-546-6442
Practice Address - Street 1:309 S. GOLD AVENUE
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:NM
Practice Address - Zip Code:88030-3730
Practice Address - Country:US
Practice Address - Phone:505-546-8848
Practice Address - Fax:505-546-6442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000R0704Medicaid
2503105Medicare ID - Type Unspecified