NIZHONI MEDICAL SUPPLY INC (NPI# 1497848543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497848543 |
| Entity Type | Organization |
| Organization Name | NIZHONI MEDICAL SUPPLY INC |
| Practice Address |
1303 Metro Ave Gallup NM 87301-5376 |
| Mailing Address |
1303 Metro Dr Gallup NM 87301-4862 |
| Practice Telephone | 5058639199 |
| Practice Fax Number | 5058639219 |
| Mailing Telephone | 5058639199 |
| Mailing Fax Number | 5058639219 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-07-29 |
| Authorized Official Name | MR. VERNON DAKAI WARNER I (SECRETARY) |
| Authorized Official Telephone | 5058639199 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
NM | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS PROVIDER NUMBER | 094395 | 01 |
| NM | 35488557 | 05 | |
| NM | INTERGRATED HEALTH | N123894 | 01 |
| Street Address |
1303 METRO AVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093060881 | Nizhoni Transportation Inc | Non-emergency Medical Transport (VAN) | 1303 Metro Ave, Gallup, NM 87301-5376 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245618404 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1640 South 2nd St, Gallup, NM 87301 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763014 | Wheelchair and Walker Rentals, Inc | Durable Medical Equipment & Medical Supplies | 1310 E 32nd St, Silver City, NM 88061-7252 | 2019-11-04 |
| 1013574342 | Sun Country Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 151 S Walnut St Ste B12, Las Cruces, NM 88001-2616 | 2019-05-22 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013408582 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 1855 E Lohman Ave Ste A, Las Cruces, NM 88001-3122 | 2018-05-21 |
| 1679064141 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 710 Paseo Del Pueblo Sur Ste L2, Taos, NM 87571-6061 | 2018-05-21 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1568823953 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1712 N Grimes St, Hobbs, NM 88240-2719 | 2016-03-11 |
| 1811300619 | Dona Ana Medical Supply | Durable Medical Equipment & Medical Supplies | 116 Nob Hill Dr, Ruidoso, NM 88345-6044 | 2014-06-09 |
| 1073937306 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 10801 Golf Course Nw, Albuquerque, NM 87114 | 2014-02-06 |
| Find all providers with the same taxonomy | ||||
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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.