Healthcare Provider Details

I. General information

NPI: 1104912625
Provider Name (Legal Business Name): CITY OF HOBBS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E BROADWAY ST
HOBBS NM
88240-8425
US

IV. Provider business mailing address

PO BOX 309
LEWISVILLE NC
27023-0309
US

V. Phone/Fax

Practice location:
  • Phone: 505-397-9305
  • Fax: 505-397-9331
Mailing address:
  • Phone: 877-200-1191
  • Fax: 336-740-9737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number314331
License Number StateNM

VIII. Authorized Official

Name: CARMEN ZARAGOZA
Title or Position: BILLING SPECIALIST
Credential:
Phone: 575-397-8604