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RIO WEST MEDICAL LLC NPI 1396705687


NPI Information

NPI: 1396705687
Provider Name: RIO WEST MEDICAL, LLC

Doing Business As: ROADRUNNER FOOTWEAR AND FOOTCARE

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
6200 COORS BLVD NW
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 896-0533
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RIO WEST MEDICAL, LLC is a customized equipment durable medical equipment medical supplies in Albuquerque, NM. RIO WEST MEDICAL, LLC NPI is 1396705687. The provider is registered as an organization entity type.
The provider Is Doing Business As Roadrunner Footwear And Footcare.

The provider's business location address is:

6200 COORS BLVD NW
ALBUQUERQUE, NM
ZIP 87120-785
Phone: (505) 896-0533
Fax: (505) 896-0522

The provider's authorized official is Sandra Yauk .
The authorized official title is Owner and has the following contact phone number (505) 896-0533.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 11/14/2008.


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 EquipmentYes

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
106587577MEDICAIDNEW MEXICO
25154880001MEDICARE PINNEW MEXICO
35154880001MEDICARE NSCNEW MEXICO
4=========OTHERNEW MEXICOFED ID
5201065393OTHERNEW MEXICOPRESBYTERIAN NM
606928773MEDICAIDNEW MEXICO
7202003149OTHERNEW MEXICOPRESBYTERIAN NM
8NM01TA20OTHERNEW MEXICOBCBSNM

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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