Organization
BLUE HORSESHOE, INC.
Active
Organization
BLUE HORSESHOE, INC.
Active
Other names
Advanced Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
JACKI GAYLE BATES (BILLING MANAGER)
(505) 623-0799
Entity
Organization
Contact information
Practice address
315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(505) 623-0799
(505) 627-6257
Mailing address
315 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(505) 623-0799
(505) 627-6257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0604031
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q1543
—
NM
Enumeration date
07/17/2006
Last updated
08/22/2020
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