Healthcare Provider Details
I. General information
NPI: 1316438880
Provider Name (Legal Business Name): CALMAR INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/21/2018
Last Update Date: 09/19/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 SAINT MICHAELS DR STE N
SANTA FE NM
87505-7636
US
IV. Provider business mailing address
720 SAINT MICHAELS DR STE N
SANTA FE NM
87505-7636
US
V. Phone/Fax
- Phone: 505-469-0510
- Fax: 505-982-0439
- Phone: 505-469-0510
- Fax: 505-982-0439
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CALVIN
KOBAYASHI
Title or Position: CEO
Credential:
Phone: 505-256-1610