904 West Main Llc
Durable Medical Equipment & Medical Supplies
615 W Broadway, Farmington
New Mexico, 87401-5910
505-535-4196 904 West Main Llc is a Durable Medical Equipment & Medical Supplies in Farmington, New Mexico. It is located at 615 W Broadway, Farmington and it's customer support contact number is 505-535-4196. The authorized person of 904 West Main Llc is Kurt Cook who is Ceo of this DME and his contact number is 505-793-6750.
904 West Main Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
904 West Main Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | 904 West Main Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 615 W Broadway, Farmington,
New Mexico, 87401-5910 |
| Phone: | 505-535-4196 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Kurt Cook |
| Position: | Ceo |
| Contact Number: | 505-793-6750 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1235964172 |
| NPI Enumeration Date: | 02 Sep, 2024 |
| NPI Last Update On: | 02 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 904 West Main Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 615 W Broadway,
Farmington, New Mexico |
| Zip: | 87401-5910 |
| Phone Number: | 505-535-4196 |
Patients can reach 904 West Main Llc at
615 W Broadway, Farmington, New Mexico or can
call on customer care at 505-535-4196.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.