Medisource Home Health

LBN: Medisource Home Health
Medisource Home Health is an health care organization with primary practice located at 406 W College Blvd Ste A , Roswell NM 88201-5114. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Medisource Home Health can be contacted via phone (575) 910-5521, or through Thompson-Ramirez, Rebecca L via phone (575) 910-5521.

Contact Information

Primary practice address
406 W College Blvd Ste A Roswell NM 88201-5114
Phone: (575) 910-5521
Fax: (575) 208-1769
Website:
Map and Directions
Authorized official contact:
Name: Thompson-Ramirez, Rebecca L Registered Nurse (RN)
Phone: (575) 910-5521

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 3434 New Mexico

Profile Details

NPI number 1639512171
LBN Legal business name Medisource Home Health
DBA Doing business as
Authorized official Thompson-Ramirez, Rebecca L Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2013
Last updated Mar 17th, 2018 - about 8 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 1639512171 NPPES
New Mexico Other 1T3434 NM HEALTH AND LICENSING
New Mexico MEDICAID 70683255 NM HEALTH AND LICENSING

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