| |
412 Paseo De Onate, Suite #2, Espanola, NM 87532-3486 | |
(505) 753-7868 | |
(505) 753-6459 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 412 Paseo De Onate, Espanola, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497892376 | NPI | - | NPPES |
K5006 | Medicaid | NM | |
CH4370 | Other | NM | RAILROAD MEDICARE (RRB) |
CN6728 | Other | NM | RAILROAD MEDICARE (RRB) |
47951 | Medicaid | NM |
Mailing Address | Practice Location Address |
---|---|
8801 Horizon Blvd Ne, Suite 360, Albuquerque, NM 87113-1533 Ph: (505) 246-2622 | 412 Paseo De Onate, Suite #2, Espanola, NM 87532-3486 Ph: (505) 753-7868 |