Bloom Medical Services
LBN: Bloom And Grow Pediatrics Llc
Bloom Medical Services is an health care organization with primary practice located at 1315 Burro Ave , Cloudcroft NM 88317-7719. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Bloom And Grow Pediatrics Llc can be contacted via phone (575) 682-2002, or through Bruce, Susan via phone (575) 921-2318.
Contact Information
Primary practice address
1315 Burro Ave
Cloudcroft NM 88317-7719
Phone: (575) 682-2002
Fax:
Website:
Authorized official contact:
Name: Bruce, Susan Certified Pediatric Nurse Practitioner (CPNP)
Phone: (575) 921-2318
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
| NPI number | 1760956031 |
|---|---|
| LBN Legal business name | Bloom And Grow Pediatrics Llc |
| DBA Doing business as | Bloom Medical Services |
| Authorized official | Bruce, Susan Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2019 |
| Last updated | Jul 1st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760956031 | NPPES |
| New Mexico | Other | 1326276395 | TYPE 1 NPI |
| New Mexico | MEDICAID | 99120330 | TYPE 1 NPI |
Popular Providers
-
Braddock Medical Group P.A.
912 Seton Dr , Cumberland MD 21502-1818 -
County Of Monroe
315 W Oak St Ste B , Sparta WI 54656-2150 -
Liv Well Community Health Services, Inc.
1903 Broadway St , Paducah KY 42001-7105 -
County Of Hyde Office Of Accountant
1151 Main Street , Swanquarter NC 27885-0100 -
Central Illinois Pediatrics, Ltd
900 W Temple Ave Ste 203 , Effingham IL 62401-2187 -
Claiborne County Family Health Center
2045 Highway 61 North , Port Gibson MS 39150-4262 -
Trillium Health, Inc
259 Monroe Avenue , Rochester NY 14607-3632 -
Cnc Family Medicine, Pllc
128 Okeewemee Star Rd , Star NC 27356-7343