# PREMIER MEDICAL SUPPLY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467730366
- **Authorized official:** COLETTE RADCLIFFE (PRESIDENT)
- **Authorized official phone:** (915) 504-3111

## Contact information

- **Practice address:** 1545 GOODYEAR DR STE D, EL PASO, TX 79936-6063
- **Practice address phone:** (915) 594-3333
- **Practice address fax:** (915) 594-3043
- **Mailing address:** 1545 GOODYEAR DR STE D, EL PASO, TX 79936-6063
- **Mailing address phone:** (915) 594-3333
- **Mailing address fax:** (915) 594-3043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/26/2011
- **Last updated:** 06/11/2024