Organization
MOUNTAIN AIR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANN NAJAR (OWNER)
(505) 538-0202
Entity
Organization
Contact information
Practice address
106 W 13TH ST, SUITE B & C, SILVER CITY, NM 88061-5500
(505) 538-0202
(505) 538-0205
Mailing address
106 W 13TH ST, SUITE B & C, SILVER CITY, NM 88061-5500
(505) 538-0202
(505) 538-0205
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00T29F
BLUE CROSS/BLUE SHIELD
NM
05
—
78137
—
NM
Enumeration date
08/12/2006
Last updated
06/23/2008
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