Organization
PATRICIA RUFFIER
Active
Other names
1ST MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RUFFIER (OWNER)
(505) 522-2011
Entity
Organization
Contact information
Practice address
151 S WALNUT ST, STE C-9, LAS CRUCES, NM 88001-2605
(505) 522-2011
(505) 522-2331
Mailing address
151 S WALNUT ST, STE C-9, LAS CRUCES, NM 88001-2605
(505) 522-2011
(505) 522-2331
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
9358
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185107301
—
TX
05
—
185107302
—
TX
05
—
72102772
—
NM
01
—
NM00TB59
BLUE CROSS BLUE SHIELD
NM
05
—
QMP000003404554
—
NM
Enumeration date
11/14/2006
Last updated
06/13/2008
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