Provider Demographics
NPI:1538101993
Name:LIN-MAR INC.
Entity Type:Organization
Organization Name:LIN-MAR INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-397-7070
Mailing Address - Street 1:205 W BROADWAY ST
Mailing Address - Street 2:P. O. BOX 1379
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-6003
Mailing Address - Country:US
Mailing Address - Phone:505-397-7070
Mailing Address - Fax:505-393-7071
Practice Address - Street 1:205 W BROADWAY ST
Practice Address - Street 2:203 WEST BROADWAY
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-6003
Practice Address - Country:US
Practice Address - Phone:505-397-7070
Practice Address - Fax:505-393-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM67500382Medicaid
NMD-0635Medicaid
NMZ-7019Medicaid