Mount Taylor Medical Supply, Inc

LBN: Mount Taylor Medical Supply, Inc
Mount Taylor Medical Supply, Inc is an health care organization with primary practice located at 1023 E High St , Grants NM 87020-2445. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Mount Taylor Medical Supply, Inc can be contacted via phone (505) 285-6934, or through Munson, Matthew J via phone (505) 285-6934.

Contact Information

Primary practice address
1023 E High St Grants NM 87020-2445
Phone: (505) 285-6934
Fax: (505) 285-5773
Website:
Map and Directions
Authorized official contact:
Name: Munson, Matthew J
Phone: (505) 285-6934

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 02414449005 New Mexico

Profile Details

NPI number 1427113802
LBN Legal business name Mount Taylor Medical Supply, Inc
DBA Doing business as
Authorized official Munson, Matthew J
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Dec 11th, 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 1427113802 NPPES
New Mexico MEDICAID R3703

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