Provider Demographics
NPI:1497814693
Name:DEBORAH STUBBLEFIELD
Entity Type:Organization
Organization Name:DEBORAH STUBBLEFIELD
Other - Org Name:RESPIRATORY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STUBBLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:505-894-6640
Mailing Address - Street 1:PO BOX 1309
Mailing Address - Street 2:
Mailing Address - City:TRUTH OR CONSEQUENCES
Mailing Address - State:NM
Mailing Address - Zip Code:87901-1309
Mailing Address - Country:US
Mailing Address - Phone:505-894-6640
Mailing Address - Fax:505-894-9482
Practice Address - Street 1:612 N DATE ST
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-1742
Practice Address - Country:US
Practice Address - Phone:505-894-6640
Practice Address - Fax:505-894-9482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM210332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM29126771Medicaid
NMNM00TB63OtherBCBS PROVIDER NUMBER
NM6107460001Medicare NSC