Medicare Supplier ELITE PRIMARY CARE LLC Details

Globally Unique Supplier Identifier: 20477855

medicare equipment supplier status:  active since 2016-06-12

Supplier: ELITE PRIMARY CARE LLC

Reference Information. Full Replica of the CMS (NPPES) Record

Field Name Field Value
Supplier ID 20477855
Globally Unique Supplier Identifier
Company Name ELITE PRIMARY CARE LLC
Supplier Company Name
Doing Business As (DBA) ELITE ORTHOTICS
Alternative Company Name or Doing Business As (DBA)
Participation Begin Date 2016-06-12
Participation Begin Date
Address Line 530 N TELSHOR BLVD STE A
Delivery Address Line
City LAS CRUCES
Business Address City
State NM
Business Address State
Zip 88011-8243
Business Address Zip
Phone Number 575-303-2929
Business Phone Number
Specialities List
  • Orthotic Personnel
Specialities List
Product Category Name(s)
  • Orthoses: Custom Fabricated
  • Orthoses: Prefabricated (Non-Custom Fabricated)
Category, which supplier's products belong to (wheelchairs, scooters, surgical tools, etc.)
Latitude 32.32158
Business Practice Latitude
Longitude -106.75056
Business Practice Longitude
Is Contracted For CBA False
Is Contracted For CBA

Directions to the ❝ELITE PRIMARY CARE LLC❞ location

Starting point (Yours Location) Destination (Facility Location)

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