Provider Demographics
NPI:1578596839
Name:PULSEAIR MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:PULSEAIR MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:575-885-6780
Mailing Address - Street 1:1200 N PATE ST
Mailing Address - Street 2:#4
Mailing Address - City:CARLSBAD
Mailing Address - State:NM
Mailing Address - Zip Code:88220-3501
Mailing Address - Country:US
Mailing Address - Phone:575-885-6780
Mailing Address - Fax:575-885-8162
Practice Address - Street 1:1200 N. PATE
Practice Address - Street 2:#4
Practice Address - City:CARLSBAD
Practice Address - State:NM
Practice Address - Zip Code:88220-4020
Practice Address - Country:US
Practice Address - Phone:575-885-6780
Practice Address - Fax:575-885-8162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM02178873001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT0506Medicaid
NM0492210001Medicare ID - Type UnspecifiedMEDICARE NUMBER