Organization
LAS CRUCES MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN NAJAR (OWNER)
(505) 541-0007
Entity
Organization
Contact information
Practice address
2293 DIVOT AVE, SUITE 2, LAS CRUCES, NM 88001-8416
(505) 541-0007
(505) 541-0027
Mailing address
2293 DIVOT AVE, SUITE 2, LAS CRUCES, NM 88001-8416
(505) 541-0007
(505) 541-0027
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00T29F
BLUE CROSS/BLUE SHIELD
NM
05
—
78137
—
NM
Enumeration date
08/12/2006
Last updated
08/22/2020
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