Organization Active NPI

McDaniel'S Inc.

  • Durable Medical Equipment & Medical Supplies
  • Clovis, NM
National Provider Identifier
1114154358
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
14623382 Issued in NM
Legal business name
MCDANIEL'S INC.
Practice address
1020 N Main St
Clovis, NM 88101-5933
Phone
(575) 762-4481
Fax
(575) 762-0331
NPI assigned
Jun 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Ben L. McDaniel
Title
Operations
Phone
(575) 762-4481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 14623382 NM Primary

Addresses

Primary practice location

1020 N Main St
Clovis, NM 88101-5933

Mailing address

PO Box 1050
Clovis, NM 88102-1050
Phone (575) 762-4481

Other identifiers 1

IdentifierTypeStateIssuer
14623382MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
McDaniel'S Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1114154358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881021050",
            "telephone_number": "575-762-4481",
            "fax_number": "575-762-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MAIN ST",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881015933",
            "telephone_number": "575-762-4481",
            "fax_number": "575-762-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDANIEL'S INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "575-762-4481"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "14623382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14623382",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.