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Contact Information

NATIVE RESOURCE DEVELOPMENT COMPANY INC.
318 DEE ANN AVE
GALLUP, NM87301-5783
 Phone: 505-726-0201
 Fax: 505-726-0202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for NATIVE RESOURCE DEVELOPMENT COMPANY INC.

NPI # 1992832455
LBN Legal business name NATIVE RESOURCE DEVELOPMENT COMPANY INC.
Authorized official PENNY EMERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/28/2007
Last updated 07/01/2024 - More than a year ago
Identifiers
AZ License # 073338
AZ License # 777245
NM License # 24855731
NM License # 30550297
AZ Medicaid 073338
AZ Medicaid 777245
NM Medicaid 24855731
NM Medicaid 30550297
NM Medicaid 43979203
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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