FOUR CORNERS ARTIFICIAL LIMB & BRACE (NPI# 1396756987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396756987 |
| Entity Type | Organization |
| Organization Name | FOUR CORNERS ARTIFICIAL LIMB & BRACE |
| Practice Address |
750 W Animas St Farmington NM 87401-5617 |
| Practice Telephone | 5053266305 |
| Practice Fax Number | 5053266325 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | MR. JUSTIN HOWARD MARSHALL (OWNER, PRESIDENT) |
| Authorized Official Telephone | 5053266305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | T6251 | 05 |
| Street Address |
750 W ANIMAS ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1265089262 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 508 W Pine St Ste 101, Farmington, MO 63640-1426 | 2019-08-23 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1982114807 | Handypro International, LLC | Durable Medical Equipment & Medical Supplies | 22500 Orchard Lake Rd Ste A, Farmington, MI 48336-3242 | 2017-10-05 |
| 1104205749 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Karsch Blvd, Farmington, MO 63640-1235 | 2015-05-28 |
| 1801209499 | Four Corners Foot and Ankle P.C. | Durable Medical Equipment & Medical Supplies | 2700 Farmington Ave Bldg C, Ste 1, Farmington, NM 87401-4550 | 2014-06-11 |
| 1609122621 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 26 W Karsch Blvd, Farmington, MO 63640-1411 | 2012-07-27 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1801100474 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 2300 E 30th St Ste B104, Farmington, NM 87401-8991 | 2010-08-05 |
| 1629397666 | Tricorex Inc | Durable Medical Equipment & Medical Supplies | 918 Valley Creek Dr, Farmington, MO 63640-1968 | 2010-05-28 |
| 1699900100 | Gencare, LLC | Durable Medical Equipment & Medical Supplies | 200 W 1st St Ste 192, Suite 192, Farmington, MO 63640-2521 | 2009-05-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on FOUR CORNERS ARTIFICIAL LIMB & BRACE.
| 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.