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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