Organization
MER EDDY COUNTY, INC.
Active
Other names
CHOICE MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GENNETH ARLENE EASLEY (PRESIDENT & MANAGING EMPLOYEE)
(505) 885-4805
Entity
Organization
Contact information
Practice address
1415 W AZTEC BLVD, SUITE 3, AZTEC, NM 87410-1868
(505) 334-4016
(505) 334-1874
Mailing address
1004 W PIERCE ST, CARLSBAD, NM 88220-4057
(505) 885-4805
(505) 885-8833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34228306
—
NM
Enumeration date
02/13/2007
Last updated
04/10/2008
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