Roadrunner Footwear And Footcare

LBN: Rio West Medical, Llc
Roadrunner Footwear And Footcare is an health care organization with primary practice located at 6200 Coors Blvd Nw , Albuquerque NM 87120-2785. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Rio West Medical, Llc can be contacted via phone (505) 896-0533, or through Yauk, Sandra via phone (505) 896-0533.

Contact Information

Primary practice address
6200 Coors Blvd Nw Albuquerque NM 87120-2785
Phone: (505) 896-0533
Fax: (505) 896-0522
Website:
Map and Directions
Authorized official contact:
Name: Yauk, Sandra C PED
Phone: (505) 896-0533

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1396705687
LBN Legal business name Rio West Medical, Llc
DBA Doing business as Roadrunner Footwear And Footcare
Authorized official Yauk, Sandra C PED
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Nov 14th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396705687 NPPES
New Mexico MEDICAID 06587577
New Mexico MEDICAID 06928773
New Mexico Other 202003149
New Mexico Other NM01TA20
New Mexico Other 201065393

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