Organization
MOUNTAIN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY M ROMERO (PRESIDENT)
(505) 758-8081
Entity
Organization
Contact information
Practice address
1399 WEIMER RD, STE 700A, TAOS, NM 87571-6355
(505) 758-8081
(505) 758-2903
Mailing address
1399 WEIMER RD, STE 700A, TAOS, NM 87571-6355
(505) 758-8081
(505) 758-2903
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T0080
—
NM
01
—
T548
BCBS
NM
Enumeration date
07/28/2006
Last updated
08/22/2020
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