Clovis Brace Shop in Clovis - Customized Equipment
Clovis Brace Shop - NPI 1144406257
Clovis Brace Shop is a Customized Equipment in Clovis, New Mexico. Clovis Brace Shop practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Clovis Brace Shop is 1144406257. The last update date is 2008-01-18.
Clovis Brace Shop's current location address is 128 W 21st St, Clovis, New Mexico. You can contact this provider via phone number 5757623524 and fax number 5757623523. The mailing address for Clovis Brace Shop is 128 W 21st St, Clovis, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clovis Brace Shop |
|---|---|
| Address | 128 W 21st St, Clovis, New Mexico |
| Phone Number | 5757623524 |
| Fax Number | 5757623523 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER/CU |
|---|---|
| Authorized Official Name | Barringer J Cinda |
| Telephone Number | 5757623524 |
NPI Number Detail
| NPI Number | 1144406257 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 128 W 21st St |
|---|---|
| City | Clovis |
| State | New Mexico (NM) |
| Post Code | 881014333 |
| Phone Number | 5757623524 |
| Fax Number | 5757623523 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
|
Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76877329 | NM | -- | |
| NM00TB32 | NM | BLUE CROSS BLUE SHIELD |
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What is the Clovis Brace Shop's unique identification number?
The Clovis Brace Shop has been assigned the NPI (National Provider Identifier) Number 1144406257 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Clovis Brace Shop located?
The Clovis Brace Shop is located at 128 W 21St St, Clovis, NM 881014333.
What is Clovis Brace Shop's area of expertise and its corresponding taxonomy classification?
The Clovis Brace Shop's field of specialization is Customized Equipment, and it falls under the taxonomy code 332Bc3200X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1144406257 assigned to Clovis Brace Shop?
The Clovis Brace Shop was issued its 1144406257 on 2008-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Clovis Brace Shop's information last updated?
The Clovis Brace Shop's information was last updated on 2008-01-18.