Organization
904 WEST MAIN LLC
Active
Other names
Direct Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
KURT COOK (CEO)
(505) 793-6750
Entity
Organization
Contact information
Practice address
615 W BROADWAY, FARMINGTON, NM 87401-5910
(505) 535-4196
Mailing address
615 W BROADWAY, FARMINGTON, NM 87401-5910
(505) 535-4196
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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