Advanced Medical Supply

LBN: Blue Horseshoe, Inc.
Advanced Medical Supply is an health care organization with primary practice located at 315 W Country Club Rd , Roswell NM 88201-5892. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Blue Horseshoe, Inc. can be contacted via phone (505) 623-0799, or through Bates, Jacki Gayle via phone (505) 623-0799.

Contact Information

Primary practice address
315 W Country Club Rd Roswell NM 88201-5892
Phone: (505) 623-0799
Fax: (505) 627-6257
Website:
Map and Directions
Authorized official contact:
Name: Bates, Jacki Gayle
Phone: (505) 623-0799

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0604031 New Mexico

Profile Details

NPI number 1205854494
LBN Legal business name Blue Horseshoe, Inc.
DBA Doing business as Advanced Medical Supply
Authorized official Bates, Jacki Gayle
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205854494 NPPES
New Mexico MEDICAID Q1543

Popular Providers