OrganizationActive
Jjdac, LLC
NPI 1922514686 · Land Ambulance · Gallup, NM
Provider details
- NPI number
- 1922514686
- Entity type
- Organization
- Primary specialty
- Land AmbulanceTransportation Services
- Parent organization
- Jjdac, LLC
- Organization subpart
- Yes
- Authorized official
- Brian Tierney, Evp, Chief Financial Officer(833) 703-2294
Specialties & taxonomies
Transportation Services
- Ambulance341600000X
Transportation Services
Practice location
208 W Maloney Ave
Gallup, NM 87301-5214
Phone: (505) 722-5295
Fax: (575) 523-0459
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 56141
Los Angeles, CA 90074-6141
Other names (DBA / former)
- Other name
- Med Star Ambulance
- Doing business as
- Med Star Ambulance
Registry dates
- Enumerated
- 2017-12-18
- Last updated
- 2026-03-25
- Certified
- 2026-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.