| |
2000 W 21st St, Suite R-1, Clovis, NM 88101-4087 | |
(505) 763-3445 | |
(505) 762-2690 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 2000 W 21st St, Clovis, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457498321 | NPI | - | NPPES |
47951 | Medicaid | NM | |
CH4370 | Other | NM | RAILROAD MEDICARE (RRB) |
CN6728 | Other | NM | RAILROAD MEDICARE (RRB) |
Mailing Address | Practice Location Address |
---|---|
8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113-1533 Ph: (505) 246-2622 | 2000 W 21st St, Suite R-1, Clovis, NM 88101-4087 Ph: (505) 763-3445 |