New Mexico Department of Health
NPI #1194886499 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1194886499
- Entity Type
- Organization
- Organization Name
- New Mexico Department of Health
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF NEW MEXICO, DOH, DDSD, ASB
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Apr 4, 2018
Practice Location
- Address
- 7905 MARBLE AVE NE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87110-7886
- Phone
- (505) 222-0900
Authorized Official
- Name
- SCOTT GIFFORD
- Title
- LINE II MANAGER
- Phone
- (505) 232-5712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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