Organization
ELITE PRIMARY CARE LLC
Active
Parent organization
ELITE PRIMARY CARE LLC
Other names
ELITE ORTHOTICS & DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE PRIMARY CARE LLC
Authorized official
JAIME SANCHEZ CNP (CEO)
(575) 993-9890
Entity
Organization
Contact information
Practice address
532 N TELSHOR BLVD STE H, LAS CRUCES, NM 88011-8234
(575) 210-1495
(575) 221-9055
Mailing address
PO BOX 2845, LAS CRUCES, NM 88004-2845
(575) 644-9340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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