Alden G Cockburn Md

LBN: Alden G Cockburn Md
Alden G Cockburn Md is an health care organization with primary practice located at 1399 Weimer Rd # 600, Taos NM 87571-6340. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Alden G Cockburn Md can be contacted via phone (575) 751-0334, or through Cockburn, Judy R via phone (575) 751-0334.

Contact Information

Primary practice address
1399 Weimer Rd # 600 Taos NM 87571-6340
Phone: (575) 751-0334
Fax: (575) 751-0297
Website:
Map and Directions
Authorized official contact:
Name: Cockburn, Judy R
Phone: (575) 751-0334

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20040101 New Mexico

Profile Details

NPI number 1578738381
LBN Legal business name Alden G Cockburn Md
DBA Doing business as
Authorized official Cockburn, Judy R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578738381 NPPES
New Mexico MEDICAID 29805325

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