THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Medical Equipment Supplier Yellow Pages
Albuquerque, New Mexico
Provider NPI: 1427030436
Organization Information:Organization Name: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
Practice Location:
5201 ROMA AVE NE ALBUQUERQUE, NM 87108 US
Tel: 505-262-2311 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5201 ROMA AVE NE ALBUQUERQUE, NM 87108 US
Tel: 505-262-2311 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BN1400X | Suppliers Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | ||
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | ||
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS BLUE SHIELD | NM00M057 | NM | 01 |
I0449 | NM | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin