Family Medicine Pc

LBN: Family Medicine Pc
Family Medicine Pc is an health care organization with primary practice located at 3825 Eubank Blvd Ne Ste A , Albuquerque NM 87111-3559. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Pc can be contacted via phone (505) 292-8575, or through Henderson, Stephanie via phone (505) 494-5400.

Contact Information

Primary practice address
3825 Eubank Blvd Ne Ste A Albuquerque NM 87111-3559
Fax: (505) 292-8409
Website:
Authorized official contact:
Name: Henderson, Stephanie

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1083802029
LBN Legal business name Family Medicine Pc
DBA Doing business as
Authorized official Henderson, Stephanie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2007
Last updated Jun 18th, 2024 - about 6 months 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 1083802029 NPPES
New Mexico MEDICAID 44727

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