Madison Medical Llc

LBN: Madison Medical Llc
Madison Medical Llc is an health care organization with primary practice located at 5651 Jefferson St Ne Ste A , Albuquerque NM 87109-3495. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. Madison Medical Llc can be contacted via phone (505) 881-2300, or through Hobert, Kevin via phone (760) 795-5440.

Contact Information

Primary practice address
5651 Jefferson St Ne Ste A Albuquerque NM 87109-3495
Phone: (505) 881-2300
Fax: (505) 888-0664
Website:
Map and Directions
Authorized official contact:
Name: Hobert, Kevin
Phone: (760) 795-5440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1861573685
LBN Legal business name Madison Medical Llc
DBA Doing business as
Authorized official Hobert, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Sep 19th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861573685 NPPES
New Mexico MEDICAID B3396

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