ZUNI MEDICAL SUPPLY ENTERPRISE NPI 1780686907

NPI Information

NPI: 1780686907
Provider Name: ZUNI MEDICAL SUPPLY ENTERPRISE
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
BUILDING 52 ROUTE 301 NORTH
ZUNI, NM
ZIP 87327
Phone: (505) 782-2434
Get Directions

ZUNI MEDICAL SUPPLY ENTERPRISE is an oxygen equipment and supplies durable medical equipment medical supplies in Zuni, NM. ZUNI MEDICAL SUPPLY ENTERPRISE NPI is 1780686907. The provider is registered as an organization entity type.

The provider's business location address is:

BUILDING 52 ROUTE 301 NORTH
ZUNI, NM
ZIP 87327-339
Phone: (505) 782-2434
Fax: (505) 782-2457

The provider's authorized official is Arlen P. Quetawki .
The authorized official title is Gov./pres. Board Of Directors and has the following contact phone number (505) 782-2434.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 6/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		01103	NEW MEXICO	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	01103	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	455800001	MEDICARE ID-TYPE UNSPECIFIED	NEW MEXICO	PROVIDER NUMBER
2	T1046	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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