Linco Medical & Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LINCO MEDICAL & SUPPLY INC

Practice address

116 Nob Hill Drive
Ruidoso, NM 88345

Phone

(505) 257-7174

Fax

(505) 257-5362

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Verna Ruth Adams

Title

Administrator Owner

Phone

(505) 257-7174

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1093809899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 NOB HILL DRIVE",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "505-257-7174",
            "fax_number": "505-257-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 NOB HILL DRIVE",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "88345",
            "telephone_number": "505-257-7174",
            "fax_number": "505-257-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCO MEDICAL & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "VERNA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "505-257-7174"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "T181",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T2821",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Koch
• Jessica Kushman
• La Frontera Center Inc. Dba la Frontera New Mexico, Inc.
• Pamela Beth Lancaster, RN
• Timothy Lewis, MS, CCC-SLP
• Lincoln County Ambulance
• Lincoln County Eye Center P C
• Lincoln County Family Medical Group
• Lincoln County Family Medical Group Inc
• Lincoln County Radiology LLC

• Durable Medical Equipment & Medical Supplies in Ruidoso, NM
• Providers in Ruidoso, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.