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Santo Domingo Tribe

NPI 1679766489ActiveOrganization· Ambulance, Land Transport· Santo Domingo Pueblo, NM

Ambulance, Land Transport in Santo Domingo Pueblo, New Mexico, registered in NPPES in August 2007. The authorized official on file is Matt Williams, Ems Director. Medicare paid $38,466 for services to 45 patients in 2024.

Overview

NPI1679766489
StatusActive
Entity typeOrganization
NPI issuedAug 24, 2007
Last updated in NPPESJul 31, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance, Land Transport Primary3416L0300X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (TX)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients45
Services billed1,750 across 3 procedure codes
Paid by Medicare$38,466

Medicare sources and data years