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Organization
MER EDDY COUNTY, INC.
Active
Organization
MER EDDY COUNTY, INC.
Active
Other names
CHOICE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENNETH ARLENE EASLEY (PRESIDENT & MANAGING EMPLOYEE)
(505) 885-4805
Entity
Organization
Contact information
Practice address
1415 W AZTEC BLVD, SUITE 3, AZTEC, NM 87410-1868
(505) 334-4016
(505) 334-1874
Mailing address
1004 W PIERCE ST, CARLSBAD, NM 88220-4057
(505) 885-4805
(505) 885-8833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34228306
—
NM
Enumeration date
02/13/2007
Last updated
04/10/2008
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