OrganizationActive
New Mexico Department of Health
NPI 1194886499 · Customized Equipment (DME) · Albuquerque, NM
Provider details
- NPI number
- 1194886499
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Parent organization
- State of New Mexico, Doh, Ddsd, Asb
- Authorized official
- Scott Gifford, Line II Manager
Practice location
7905 Marble Ave Ne
Albuquerque, NM 87110-7886
Phone: (505) 222-0900
Fax: (505) 222-0933
Mailing address
7905 Marble Ave Ne
Albuquerque, NM 87110-7886
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2018-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.