Healthcare Provider Details

I. General information

NPI: 1467387258
Provider Name (Legal Business Name): DONA ANA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 PORTLAND DR
LAS CRUCES NM
88007-3900
US

IV. Provider business mailing address

845 N MOTEL BLVD
LAS CRUCES NM
88007-8100
US

V. Phone/Fax

Practice location:
  • Phone: 575-647-7921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS SIMPSON
Title or Position: DEPUTY FIRE CHIEF
Credential:
Phone: 575-202-8194