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Active NPI 1114096138 Organization (Entity Type 2)

Carol E. Edwards

Durable Medical Equipment & Medical Supplies • Clovis, NM

About Carol E. Edwards NPI 1114096138 Summary

Carol E. Edwards is a verified healthcare organization specializing in Durable Medical Equipment & Medical Supplies operating in Clovis, NM. Located at 1423 N MAIN ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114096138.

Administrative operations and authorized compliance are overseen by Carol Edwards (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1423 N Main St

Clovis, NM 881014747

Telephone 5759354357

Fax 5759354358

Authorized Official Information

Authorized Contact Name

MS. Carol Edwards

Title / Role

Owner

Official Telephone

5059354357

Facility Classifications & Specialties

Durable Medical Equipment & Medical Supplies Primary Taxonomy

NUCC Taxonomy Code: 332B00000X

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Durable Medical Equipment & Medical Supplies - Customized Equipment

NUCC Taxonomy Code: 332BC3200X

Definition to come...

Prosthetic/Orthotic Supplier

NUCC Taxonomy Code: 335E00000X

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Carol Edwards , NA NPI 1023025244

Durable Medical Equipment & Medical Supplies - Customized Equipment

Clovis, NM

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active October 06, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2010

Registered at 1423 N MAIN ST, CLOVIS, NM 881014747 (Tel: 5759354357)

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Updated Business Mailing Address October 06, 2010

Registered at 1423 N MAIN ST, CLOVIS, NM 881014747 (Tel: 5759354357)

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Organization / Clinic Name Updated October 06, 2010

Operating as CAROL E. EDWARDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2010

Durable Medical Equipment & Medical Supplies

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Initial NPI Registration & Enumeration November 06, 2006

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1114096138

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: November 06, 2006

Last Update: October 06, 2010

Update or Correct Listing

Mailing Address

1423 N Main St

Clovis, NM 881014747

Phone: 5759354357

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.