One provider matched this Medicaid ID.
New Mexico Medicaid ID 84774371 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 1002995TX· Issued by DURABLE MEDICAL EQUIPMENT LICENSE
- 20226000897CO· Issued by STATE OF COLORADO DEPARTMENT OF STATE
- 69001755AIN· Issued by INDIANA DURABLE MEDICAL EQUIPMENT LICENSE
- MG02104AR· Issued by ARKANSAS STATE BOARD OF PHARMACY
- 0237000560VA· Issued by VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
- 13157465-1714UT· Issued by STATE OF UTAH DEPARTMENT OF COMMERCE
- 18384MS· Issued by MISSISSIPPI BOARD OF PHARMACY
- CSW.0005155CT· Issued by STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION
- DME67480ID· Issued by IDAHO STATE BOARD OF PHARMACY
- 07629NH· Issued by STATE OF NEW HAMPSHIRE BOARD OF PHARMACY
- C002225AZ· Issued by ARIZONA STATE BOARD OF PHARMACY
- 117826CA· Issued by STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH FOOD AND DRUG BRANCH
- 16-119168KS· Issued by KANSAS STATE BOARD OF PHARMACY
- 281577KY· Issued by KENTUCKY BOARD OF DURABLE MEDICAL EQUIPMENT SUPPLIERS
- DME.001297-NRLA· Issued by LOUISIANA BOARD OF PHARMACY
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
DME Supplier
- O20190417002919Medical Supply CompanyTX
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.