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BLUE HORSESHOE INC. NPI 1205854494


NPI Information

NPI: 1205854494
Provider Name: BLUE HORSESHOE, INC.

Doing Business As: ADVANCED MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
315 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201
Phone: (505) 623-0799
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BLUE HORSESHOE, INC. is a durable medical equipment medical supplies in Roswell, 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. BLUE HORSESHOE, INC. NPI is 1205854494. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Medical Supply.

The provider's business location address is:

315 W COUNTRY CLUB RD
ROSWELL, NM
ZIP 88201-892
Phone: (505) 623-0799
Fax: (505) 627-6257

The provider's authorized official is Jacki Gayle Bates .
The authorized official title is Billing Manager and has the following contact phone number (505) 623-0799.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


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
1332B00000XDurable Medical Equipment & Medical Supplies0604031NEW MEXICOYes

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
1Q1543MEDICAIDNEW MEXICO

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: 4/28/2024

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