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Carol E. Edwards
Prosthetic/Orthotic Supplier in Clovis, New Mexico
NPI 1114096138

Carol E. Edwards is a Prosthetic/Orthotic Supplier based in Clovis, NM. Carol E. Edwards practices in Clovis, NM. The NPI Number for Carol E. Edwards is 1114096138 and holds a License No. (New Mexico).

The current practice location address for Carol E. Edwards is 1423 N Main St, Clovis, NM and can be reached out via phone at 575-935-4357 and via fax at 575-935-4358.

Location: 1423 N Main St, Clovis, NM, 88101-4747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114096138
Provider Name
Carol E. Edwards
Credential
Provider Entity Type
Organization
Address
1423 N Main St, Clovis, NM, 88101-4747
Phone Number
575-935-4357
Fax Number
575-935-4358
Provider Enumeration Date
11/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
85331783 05 NM
NM00TB90 01 NM BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1423 N Main St
City
Clovis
State
New Mexico
Zip
88101-4747
Phone Number
575-935-4357
Fax Number
575-935-4358
person
Provider Business Mailing Address Details
Address
1423 N Main St
City
Clovis
State
New Mexico
Zip
88101-4747
Phone Number
575-935-4357
Fax Number
575-935-4358
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
332BC3200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(New Mexico)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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