Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

904 West Main LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1235964172

904 West Main LLC is a Durable Medical Equipment & Medical Supplies in Farmington, New Mexico. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 W Broadway
Farmington, NM 87401-5910
Phone: (505) 535-4196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1235964172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Cook — Ceo · (505) 793-6750
Other names Direct Medical Equipment
NPI enumeratedSeptember 2, 2024
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address615 W Broadway, Farmington, NM 87401-5910

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