Healthcare Provider Details

I. General information

NPI: 1427081298
Provider Name (Legal Business Name): CITY OF DEMING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S. GOLD AVENUE
DEMING NM
88030-3730
US

IV. Provider business mailing address

PO BOX 706
DEMING NM
88031-0706
US

V. Phone/Fax

Practice location:
  • Phone: 505-546-8848
  • Fax: 505-546-6442
Mailing address:
  • Phone: 505-546-8848
  • Fax: 505-546-6442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID JEWEL KINMAN
Title or Position: FIRE CHIEF/EMS SERVICE DIRECTOR
Credential:
Phone: 505-546-8848