Organization · Type 2 NPI

904 West Main LLC

Durable Medical Equipment & Medical Supplies · Farmington, NM

NPI number 1235964172 Active

Practice location

615 W Broadway
Farmington, NM 87401-5910

Call (505) 535-4196 Map

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: 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.

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About NPI 1235964172

904 West Main LLC's National Provider Identifier is 1235964172, issued on Sep 2, 2024. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Farmington, NM. The record was last updated on Jun 12, 2026.