Healthcare Provider Details

I. General information

NPI: 1285031286
Provider Name (Legal Business Name): WHEELCHAIR AND WALKER RENTALS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2014
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 W MCGAFFEY ST
ROSWELL NM
88203
US

IV. Provider business mailing address

PO BOX 512301
EL PASO TX
79951-0001
US

V. Phone/Fax

Practice location:
  • Phone: 575-623-0799
  • Fax: 575-208-0505
Mailing address:
  • Phone: 915-544-7144
  • Fax: 915-544-1174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOGALE COULTER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 915-544-7144