| NPI | 1063531341 |
|---|---|
| Doing Business As | EAGLE NEST AMBULANCE |
| Entity Type | Organization |
| Authorized Contact | WAYNE BAKER Billing Agent 505-376-2939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-09-17 |