Healthcare Provider Details

I. General information

NPI: 1134298599
Provider Name (Legal Business Name): CITY OF RIO RANCHO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 CIVIC CENTER CIR NE
RIO RANCHO NM
87144-4501
US

IV. Provider business mailing address

3200 CIVIC CENTER CIR NE SUITE 300
RIO RANCHO NM
87144
US

V. Phone/Fax

Practice location:
  • Phone: 505-891-5021
  • Fax: 505-891-5762
Mailing address:
  • Phone: 505-891-5010
  • Fax: 505-891-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0133944
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CAROLE JARAMILLO
Title or Position: DIRECTOR FINANCIAL SERVICES
Credential:
Phone: 505-896-8761