NPI 1063531341
Village of Eagle Nest
Practice location
- Address
- 74 Tomboy Dr., Eagle Nest, NM 87718
- Phone
- (505) 377-0663
Authorised official
- Name
- Wayne Baker
- Title
- Billing Agent
- Phone
- (505) 376-2939
Registered specialties
Land Ambulance
Primary
Registry record
- NPI
- 1063531341
- Entity type
- Organization
- NPI issued
- 28 Mar 2007
- Record last updated
- 17 Sep 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.