Provider Demographics
NPI:1013574342
Name:SUN COUNTRY MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:SUN COUNTRY MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:HADYA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYDAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-592-4346
Mailing Address - Street 1:151 S WALNUT ST STE B12
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-2616
Mailing Address - Country:US
Mailing Address - Phone:575-800-0890
Mailing Address - Fax:575-800-0895
Practice Address - Street 1:151 S WALNUT ST STE B12
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-2616
Practice Address - Country:US
Practice Address - Phone:575-800-0890
Practice Address - Fax:575-800-0895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUN COUNTRY MEDICAL EQUIPMENT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-22
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies