Active NPI
New Mexico CPM Inc
- Customized Equipment (DME)
- Albuquerque, NM
National Provider Identifier
1356490924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- NEW MEXICO CPM INC
- Practice address
- 1524 Eubank Blvd NE
Suite 1
Albuquerque, NM 87112-4166 - Phone
- (505) 292-2508
- Fax
- (505) 292-2509
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Andrea Mulford
- Title
- President
- Phone
- (505) 292-2508
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NM | Primary |
Addresses
Primary practice location
1524 Eubank Blvd NE
Suite 1
Albuquerque, NM 87112-4166
Mailing address
1524 Eubank Blvd NE
Suite 1
Albuquerque, NM 87112-4160
Phone (505) 292-2508
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T3521 | Medicaid | NM | |
| NM007257 | Other | NM | BCBS OF NM |
| 183185 | Other | NM | CARECENTRIX GENTIVA |
| 2421761 | Other | NM | UNITED HEALTHCARE |
| 10016142 | Other | NM | LOVELACE HEALTH PLAN |
| 1023507 | Other | NM | ANCILLARY CARE MNGMNT |
| 201079344 | Other | NM | PRES HEALTH PLAN |
National Provider Directory
National Provider DirectoryLocations
1524 Eubank Blvd NE
Ste 1
Albuquerque, NM 87112
Phone (505) 292-2508
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Albuquerque, NM
- NPI 1841465788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1356490924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 EUBANK BLVD NE",
"address_2": "SUITE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124160",
"telephone_number": "505-292-2508",
"fax_number": "505-292-2509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 EUBANK BLVD NE",
"address_2": "SUITE 1",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871124166",
"telephone_number": "505-292-2508",
"fax_number": "505-292-2509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO CPM INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MULFORD",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-292-2508",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00T3521",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NM",
"identifier": "NM007257",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARECENTRIX GENTIVA",
"identifier": "183185",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2421761",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH PLAN",
"identifier": "10016142",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCILLARY CARE MNGMNT",
"identifier": "1023507",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRES HEALTH PLAN",
"identifier": "201079344",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- New Mexico Community Care
- New Mexico Community Dental
- New Mexico Consumer Direct Personal Care, LLC
- New Mexico Counseling & Trauma Recovery
- New Mexico Counseling and Brain Health
- New Mexico Dentistry Prada, PLLC
- New Mexico Department of Health
- New Mexico Department of Health
- New Mexico Dermatology Associates, P.a.
- New Mexico Dream Center of Albuquerque
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.