Organization
MOUNTAIN PEAKS MEDICAL SUPPLIES, INC.
Active
Other names
Prime Care Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A HYDE (VICE PRESIDENT)
(518) 456-6192
Entity
Organization
Contact information
Practice address
16 WALKER WAY, ALBANY, NY 12205-4995
(518) 456-6192
(518) 456-6193
Mailing address
16 WALKER WAY, ALBANY, NY 12205-4995
(518) 456-6192
(518) 456-6193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081761
—
NY
Enumeration date
11/12/2009
Last updated
11/12/2009
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