Mountain Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOUNTAIN MEDICAL SUPPLY INC

Practice address

1399 Weimer Rd
Ste 700a
Taos, NM 87571-6355

Phone

(505) 758-8081

Fax

(505) 758-2903

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy M Romero

Title

President

Phone

(505) 758-8081

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275547044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "STE 700A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716355",
            "telephone_number": "505-758-8081",
            "fax_number": "505-758-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "STE 700A",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716355",
            "telephone_number": "505-758-8081",
            "fax_number": "505-758-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-758-8081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T0080",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "T548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W. Morrison, Jr., M.D.
• Stephen Moser, LMHC
• Jake Mossman, RPH
• Robert Motha
• Mountain Home Health Care, Inc.
• Rebecca Ann Mueller, PH.D.
• Alejandro Munoz
• Ofelia Munoz
• Oscar Munoz
• Michael Murphy, LPCC

• Durable Medical Equipment & Medical Supplies in Taos, NM
• Providers in Taos, 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 Aug 22, 2020; 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.