Family Health Clinic Of New Mexico Inc.

LBN: Family Health Clinic Of New Mexico Inc.
Family Health Clinic Of New Mexico Inc. is an health care organization with primary practice located at 3911 4Th St Nw , Albuquerque NM 87107-2510. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Family Health Clinic Of New Mexico Inc. can be contacted via phone (505) 469-0730, or through Brazil, Lisa via phone (505) 469-0730.

Contact Information

Primary practice address
3911 4Th St Nw Albuquerque NM 87107-2510
Phone: (505) 469-0730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brazil, Lisa FNP-BC
Phone: (505) 469-0730

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP00707 New Mexico

Profile Details

NPI number 1730466715
LBN Legal business name Family Health Clinic Of New Mexico Inc.
DBA Doing business as
Authorized official Brazil, Lisa FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2011
Last updated Nov 4th, 2011 - about 13 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 1730466715 NPPES
New Mexico Other 1154419117 INDIVIDUAL NPI

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