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Organization
MCKINLEY MEDICAL SUPPLY, INC
Active
Organization
MCKINLEY MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN S. BIGLEY (PRESIDENT)
(505) 722-4311
Entity
Organization
Contact information
Practice address
210 NIZHONI BLVD, GALLUP, NM 87301-5744
(505) 722-4311
(505) 722-6260
Mailing address
PO BOX 2997, 210 NIZHONI BLVD., GALLUP, NM 87305-2997
(505) 722-4311
(505) 722-6260
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117855
—
AZ
05
—
F4579
—
NM
01
—
T656
BCBS
—
Enumeration date
09/25/2006
Last updated
06/02/2008
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