Organization
HOSPICE SUPPLY OF NEW MEXICO
Active
Organization
HOSPICE SUPPLY OF NEW MEXICO
Active
Other names
Clovis Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA KAY SMITH (OWNER)
(505) 769-9050
Entity
Organization
Contact information
Practice address
2301 MARTIN LUTHER KING BLVD, CLOVIS, NM 88101-9401
(505) 769-9050
(505) 769-9066
Mailing address
1905 COLONIAL PKWY, CLOVIS, NM 88101-3117
(505) 762-2437
(505) 762-2437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03025316000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65477278
—
NM
01
—
TB61
BC BS OF NM
NM
Enumeration date
06/11/2006
Last updated
04/20/2008
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