| Omnisleep | |
|
3810 Masthead St Ne Albuquerque NM 87109-4479 | |
| (505) 843-8758 | |
| (505) 843-8759 |
| Full Name | Omnisleep |
|---|---|
| Speciality | Clinic/Center |
| Location | 3810 Masthead St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | John Craig Eaves (CEO) |
| Authorized Official Contact | 5058438758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omnisleep 3810 Masthead St Ne Albuquerque NM 87109-4479 Ph: (505) 843-8758 | Omnisleep 3810 Masthead St Ne Albuquerque NM 87109-4479 Ph: (505) 843-8758 |
| NPI Number | 1164410528 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 06/10/2020 |
| Certification Date | 06/10/2020 |
| Medicare PECOS PAC ID | 1658303987 |
|---|---|
| Medicare Enrollment ID | O20050907000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164410528 | NPI | - | NPPES |
| 95877321 | Medicaid | NM | |
| 81323395 | Medicaid | NM |
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