Organization
NEW MEXICO DEPARTMENT OF HEALTH
Active
Parent organization
STATE OF NEW MEXICO, DOH, DDSD, ASB
Other names
Specialty Seating Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF NEW MEXICO, DOH, DDSD, ASB
Authorized official
SCOTT GIFFORD (LINE II MANAGER)
(505) 232-5712
Entity
Organization
Contact information
Practice address
7905 MARBLE AVE NE, ALBUQUERQUE, NM 87110-7886
(505) 222-0900
(505) 222-0933
Mailing address
7905 MARBLE AVE NE, ALBUQUERQUE, NM 87110-7886
(505) 232-5712
(505) 222-0933
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000D1977
—
NM
Enumeration date
12/12/2006
Last updated
04/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us