Organization
LINCO MEDICAL & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNA RUTH ADAMS (ADMINISTRATOR OWNER)
(505) 257-7174
Entity
Organization
Contact information
Practice address
116 NOB HILL DRIVE, RUIDOSO, NM 88345
(505) 257-7174
(505) 257-5362
Mailing address
116 NOB HILL DRIVE, RUIDOSO, NM 88345
(505) 257-7174
(505) 257-5362
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T181
BLUE CROSS
—
05
—
T2821
—
NM
Enumeration date
10/03/2006
Last updated
06/28/2010
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