Medical Depot Inc

LBN: Medical Depot Inc
Medical Depot Inc is an health care organization with primary practice located at 2010 East 19Th St , Farmington NM 87401-2500. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medical Depot Inc can be contacted via phone (505) 326-2333, or through Hicks, Ronald Lewis via phone (505) 326-2333.

Contact Information

Primary practice address
2010 East 19Th St Farmington NM 87401-2500
Fax: (505) 325-4443
Website:
Authorized official contact:
Name: Hicks, Ronald Lewis

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1841219979
LBN Legal business name Medical Depot Inc
DBA Doing business as
Authorized official Hicks, Ronald Lewis
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1841219979 NPPES
New Mexico MEDICAID 82051763

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