Healthcare Provider Details

I. General information

NPI: 1265065056
Provider Name (Legal Business Name): HELIOS EMS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 PACHECO ST
SANTA FE NM
87505-3907
US

IV. Provider business mailing address

1341 PACHECO ST
SANTA FE NM
87505-3907
US

V. Phone/Fax

Practice location:
  • Phone: 505-634-5585
  • Fax:
Mailing address:
  • Phone: 505-634-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MARCUS PRIESKOP
Title or Position: DIRECTOR OF ADMINISTRATION
Credential: EMT-P
Phone: 347-345-6216