| |
622 W Maple St, Suite E, Farmington, NM 87401-6590 | |
(505) 325-4003 | |
(505) 327-6140 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 622 W Maple St, Farmington, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598802464 | NPI | - | NPPES |
CH4370 | Other | NM | RAILROAD MEDICARE (RRB) |
CN6728 | Other | NM | RAILROAD MEDICARE (RRB) |
K5006 | Medicaid | NM | |
47951 | Medicaid | NM |
Mailing Address | Practice Location Address |
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8801 Horizon Blvd Ne Ste 360, Albuquerque, NM 87113-1563 Ph: (505) 246-2622 | 622 W Maple St, Suite E, Farmington, NM 87401-6590 Ph: (505) 325-4003 |