CRANDALL MEDICAL (NPI# 1689186868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689186868 |
| Entity Type | Organization |
| Organization Name | CRANDALL MEDICAL |
| Practice Address |
4924 Wellsburg Ave Nw Albuquerque NM 87120-3801 |
| Mailing Address |
Po Box 21490 Albuquerque NM 87154-1490 |
| Practice Telephone | 5057201877 |
| Mailing Telephone | 5057201877 |
| Enumeration Date | 2017-10-28 |
| Last Update Date | 2017-10-28 |
| Authorized Official Name | STEVE TRACY (OWNER) |
| Authorized Official Telephone | 5057201877 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4924 WELLSBURG AVE NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| 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 |
|---|---|---|---|---|
| 1235788100 | Eric J Rico | Durable Medical Equipment & Medical Supplies | 2001 Mountain Rd Nw Ste F2, Albuquerque, NM 87104-1484 | 2019-09-04 |
| 1801376942 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 9420 San Mateo Blvd Ne Ste C, Albuquerque, NM 87113-1400 | 2018-08-17 |
| 1750875621 | Home Medical Equipment Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3901 Masthead St Ne, Albuquerque, NM 87109-4481 | 2018-06-14 |
| 1841711553 | Bernalillo Health Supplies | Durable Medical Equipment & Medical Supplies | 500 Marquette Avenue 500 Marquette Avenue Suite 1200, Albuquerque, NM 87102 | 2017-07-03 |
| 1407396989 | Strive Medical LLC | Durable Medical Equipment & Medical Supplies | 2655 Pan American Fwy Ne, Ste G, Albuquerque, NM 87107-1639 | 2017-03-02 |
| 1831563238 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5620 San Francisco Rd Ne Ste A, Albuquerque, NM 87109-4656 | 2015-11-23 |
| 1477920882 | Modern Creations Construction | Durable Medical Equipment & Medical Supplies | 9716 Torriso Ct Sw, Albuquerque, NM 87121-5280 | 2015-09-02 |
| 1457734253 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1820 Unser Blvd Nw, Albuquerque, NM 87120-3933 | 2015-06-30 |
| 1538564877 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 11018 Montgomery Blvd Ne, Albuquerque, NM 87111-3962 | 2014-10-29 |
| 1023430626 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 2430 Alamo Ave Se Ste 103, Albuquerque, NM 87106-3218 | 2014-01-16 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on CRANDALL MEDICAL.
| 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.