Dds Catalyst Country Club Llc

LBN: Dds Catalyst Country Club Llc
Dds Catalyst Country Club Llc is an health care organization with primary practice located at 6588 E. Main St. , Farmington NM 87402. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dds Catalyst Country Club Llc can be contacted via phone (505) 326-6800, or through Ashby, Andrew via phone (505) 326-6800.

Contact Information

Primary practice address
6588 E. Main St. Farmington NM 87402
Phone: (505) 326-6800
Fax: (505) 326-6809
Website:
Map and Directions
Authorized official contact:
Name: Ashby, Andrew DDS, MBA
Phone: (505) 326-6800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1255445706
LBN Legal business name Dds Catalyst Country Club Llc
DBA Doing business as
Authorized official Ashby, Andrew DDS, MBA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Apr 26th, 2019 - about 6 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 1255445706 NPPES
New Mexico MEDICAID 164051

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