Provider Demographics
NPI:1679064141
Name:CALMAR INC.
Entity type:Organization
Organization Name:CALMAR INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBAYASHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-256-1610
Mailing Address - Street 1:710 PASEO DEL PUEBLO SUR STE L2
Mailing Address - Street 2:
Mailing Address - City:TAOS
Mailing Address - State:NM
Mailing Address - Zip Code:87571-6061
Mailing Address - Country:US
Mailing Address - Phone:575-751-0214
Mailing Address - Fax:575-751-0215
Practice Address - Street 1:710 PASEO DEL PUEBLO SUR STE L2
Practice Address - Street 2:
Practice Address - City:TAOS
Practice Address - State:NM
Practice Address - Zip Code:87571-6061
Practice Address - Country:US
Practice Address - Phone:575-751-0214
Practice Address - Fax:575-751-0215
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALMAR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-21
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NML3234Medicaid