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Organization
NEW MEXICO CPM INC
Active
Organization
NEW MEXICO CPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MULFORD (PRESIDENT)
(505) 292-2508
Entity
Organization
Contact information
Practice address
1524 EUBANK BLVD NE, SUITE 1, ALBUQUERQUE, NM 87112-4166
(505) 292-2508
(505) 292-2509
Mailing address
1524 EUBANK BLVD NE, SUITE 1, ALBUQUERQUE, NM 87112-4160
(505) 292-2508
(505) 292-2509
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00T3521
—
NM
01
—
10016142
LOVELACE HEALTH PLAN
NM
01
—
1023507
ANCILLARY CARE MNGMNT
NM
01
—
183185
CARECENTRIX GENTIVA
NM
01
—
201079344
PRES HEALTH PLAN
NM
01
—
2421761
UNITED HEALTHCARE
NM
01
—
NM007257
BCBS OF NM
NM
Enumeration date
01/10/2007
Last updated
07/21/2022
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