Organization Name: | ZUNI MEDICAL SUPPLY ENTERPRISE |
NPI Number: | 1780686907 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARLEN P. QUETAWKI (GOV./PRES. BOARD OF DIRECTORS) |
Mailing Address: | Building 52 Route 301 North Zuni |
State: | NM US |
Postal Code: | 873270339 |
Phone Number: | 5057822434 |
Fax Number: | 5057822457 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 01103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |