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ROSWELL HOME MEDICAL INC NPI 1295796043


NPI Information

NPI: 1295796043
Provider Name: ROSWELL HOME MEDICAL INC

Doing Business As: MAJOR MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
814 BOARDMAN DR
GALLUP, NM
ZIP 87301
Phone: (505) 863-5220
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ROSWELL HOME MEDICAL INC is a durable medical equipment medical supplies in Gallup, NM. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ROSWELL HOME MEDICAL INC NPI is 1295796043. The provider is registered as an organization entity type.
The provider Is Doing Business As Major Medical.

The provider's business location address is:

814 BOARDMAN DR
GALLUP, NM
ZIP 87301-711
Phone: (505) 863-5220
Fax: (505) 863-9925

The provider's authorized official is Robin L Menchen .
The authorized official title is Chief Operating Officer and has the following contact phone number (407) 822-4600.

The enumeration date for this NPI number is 3/31/2006 and was last updated on 3/13/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4335E00000XProsthetic/Orthotic SupplierNo
5332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
115352048MEDICAIDNEW MEXICO
2199050MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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