Heavenly Health Fnp

LBN: Heavenly Health Inc
Heavenly Health Fnp is an health care organization with primary practice located at 308 East Hill Avenue , Gallup NM 87301. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Heavenly Health Inc can be contacted via phone (505) 722-6770, or through Duval, Georges via phone (505) 722-6770.

Contact Information

Primary practice address
308 East Hill Avenue Gallup NM 87301
Phone: (505) 722-6770
Fax: (505) 722-6799
Website:
Map and Directions
Authorized official contact:
Name: Duval, Georges Doctor of Medicine (MD)
Phone: (505) 722-6770

Health care specialties

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

Profile Details

NPI number 1427118926
LBN Legal business name Heavenly Health Inc
DBA Doing business as Heavenly Health Fnp
Authorized official Duval, Georges Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 8th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427118926 NPPES
New Mexico MEDICAID S9269

Popular Providers