Stargate Mobility

LBN: Stargate Mobility
Stargate Mobility is an health care organization with primary practice located at 500 S Sunset Ave , Roswell NM 88203-2866. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Stargate Mobility can be contacted via phone (575) 208-0056, or through Dodge, Jefferie A via phone (575) 208-0056.

Contact Information

Primary practice address
500 S Sunset Ave Roswell NM 88203-2866
Phone: (575) 208-0056
Fax: (505) 216-9380
Website:
Map and Directions
Authorized official contact:
Name: Dodge, Jefferie A
Phone: (575) 208-0056

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 03065376002 New Mexico

Profile Details

NPI number 1144334715
LBN Legal business name Stargate Mobility
DBA Doing business as
Authorized official Dodge, Jefferie A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Dec 24th, 2007 - 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 1144334715 NPPES
New Mexico MEDICAID 42874360

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