MOUNTAIN MEDICAL SUPPLY INC (NPI# 1275547044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275547044 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN MEDICAL SUPPLY INC |
| Practice Address |
1399 Weimer Rd Ste 700a Taos NM 87571-6355 |
| Practice Telephone | 5057588081 |
| Practice Fax Number | 5057582903 |
| Mailing Telephone | 5057588081 |
| Mailing Fax Number | 5057582903 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CATHY M ROMERO (PRESIDENT) |
| Authorized Official Telephone | 5057588081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS | T548 | 01 |
| NM | T0080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914678 | Mountain Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 521 Main St, Haysi, VA 24256 | 2005-09-30 |
| Street Address |
1399 WEIMER RD STE 700A |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731899 | Jon I Levin | Surgery | 1399 Weimer Rd, Suite # 600, Taos, NM 87571-6340 | 2005-09-21 |
| 1619347374 | Pamela Yven | Nurse Practitioner | 1399 Weimer Rd, Suite 200, Taos, NM 87571-6340 | 2015-10-06 |
| 1427379874 | Lauren M Good | Dermatology | 1399 Weimer Rd, #600, Taos, NM 87571-6340 | 2010-06-21 |
| 1154553477 | Taos Orthopedic Clinic Inc | Orthopaedic Surgery | 1399 Weimer Rd, Taos, NM 87571-6340 | 2009-08-20 |
| 1154586147 | Galveston Dermatology, P.a. | Dermatology | 1399 Weimer Rd, Suite 200, Taos, NM 87571-6340 | 2008-07-19 |
| 1760657035 | Stephen D Cetrulo Md | Surgery | 1399 Weimer Rd, Suite # 600, Taos, NM 87571-6340 | 2008-04-28 |
| 1578738381 | Alden G Cockburn Md | Specialist | 1399 Weimer Rd, # 600, Taos, NM 87571-6340 | 2008-04-23 |
| 1013115062 | Taos Surgical Specialties LLC | Specialist | 1399 Weimer Rd, Suite # 600, Taos, NM 87571-6340 | 2007-07-10 |
| 1669502589 | Mark A Niemiec | Dentist | 1399 Weimer Rd, Suite 800, Taos, NM 87571-6340 | 2007-03-07 |
| 1689711400 | Eye Associates of New Mexico Ltd | Optometrist | 1399 Weimer Rd, Suite 300, Taos, NM 87571-6340 | 2007-01-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720286156 | United Supermarkets LLC | Durable Medical Equipment & Medical Supplies | 710 Paseo Del Pueblo Sur Ste A, Taos, NM 87571-5998 | 2007-07-06 |
| 1982701264 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 1398 Weimer Rd Ste 102, Taos, NM 87571-6493 | 2006-09-20 |
| 1922016195 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1335 Gusdorf Rd Ste K, Taos, NM 87571-5208 | 2006-08-04 |
| 1528085677 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 926 Paseo Del Pueblo Sur, Taos, NM 87571-5966 | 2006-07-16 |
| 1366467987 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 224 Paseo Pueblo Sur, Taos, NM 87571 | 2006-07-13 |
| 1952534125 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 811 Paseo Del Pueblo Sur, Taos, NM 87571-6395 | 2009-09-03 |
| 1083601967 | Deb Jones Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1337 Gusdorf Rd, Suite G, Taos, NM 87571-6294 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1366058935 | Fatemeh Moghadam Salisbury | Durable Medical Equipment & Medical Supplies | 1905 Settlers Bnd N, Las Cruces, NM 88012-6012 | 2020-09-19 |
| 1851902308 | Epmed Pa | Durable Medical Equipment & Medical Supplies | 880 S Telshor Blvd Ste 101, Las Cruces, NM 88011-8682 | 2020-08-10 |
| 1720604697 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 20 S New York Ave, Alamogordo, NM 88310-6525 | 2020-06-17 |
| 1053937946 | Southwest Regenerative Medicine LLC | Durable Medical Equipment & Medical Supplies | 755 S Telshor Blvd # R101, Las Cruces, NM 88011-4688 | 2020-06-17 |
| 1437790318 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 2730 N Wilshire Blvd, Roswell, NM 88201-6519 | 2019-10-02 |
| 1235788100 | Eric J Rico | Durable Medical Equipment & Medical Supplies | 2001 Mountain Rd Nw Ste F2, Albuquerque, NM 87104-1484 | 2019-09-04 |
| 1851857981 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 551 4th St., Bldg 227 Holloman Afb, Alamogordo, NM 88310-8831 | 2019-02-13 |
| 1801376942 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 9420 San Mateo Blvd Ne Ste C, Albuquerque, NM 87113-1400 | 2018-08-17 |
| 1750875621 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3901 Masthead St Ne, Albuquerque, NM 87109-4481 | 2018-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.