# MEDI-CONNECT

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

## Provider details

- **NPI number:** 1982565081
- **Authorized official:** EDWARD LIDALE JONES (PRESIDENT)
- **Authorized official phone:** (619) 254-0547

## Contact information

- **Practice address:** 4140 JACKIE RD SE, RIO RANCHO, NM 87124-6624
- **Practice address phone:** (505) 477-4714
- **Mailing address:** 4140 JACKIE RD SE, RIO RANCHO, NM 87124-6624
- **Mailing address phone:** (505) 477-4714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2025
- **Last updated:** 11/19/2025