Goodside Health Medical, Pllc
LBN: Goodside Health Medical, Pllc
Goodside Health Medical, Pllc is an health care organization with primary practice located at 9910 Indian School Rd Ne Ste 204 , Albuquerque NM 87112-2971. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Goodside Health Medical, Pllc can be contacted via phone (512) 884-5190, or through White, Brian via phone (817) 244-0101.
Contact Information
Primary practice address
9910 Indian School Rd Ne Ste 204
Albuquerque NM 87112-2971
Phone: (512) 884-5190
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1033972716 |
|---|---|
| LBN Legal business name | Goodside Health Medical, Pllc |
| DBA Doing business as | |
| Authorized official | White, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Jun 13th, 2024 - about 5 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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