High Desert Neurology
LBN: High Desert Neurology
High Desert Neurology is an health care organization with primary practice located at 4131 Barbara Loop Se Suite 1-A, Rio Rancho NM 87124-1362. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is the primary health care specialty.
High Desert Neurology can be contacted via phone (505) 892-8915, or through Williams, Jerry K via phone (505) 892-8915.
Contact Information
Primary practice address
4131 Barbara Loop Se Suite 1-A
Rio Rancho NM 87124-1362
Phone: (505) 892-8915
Fax: (505) 994-3028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1487754735 |
|---|---|
| LBN Legal business name | High Desert Neurology |
| DBA Doing business as | |
| Authorized official | Williams, Jerry K Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Dec 30th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487754735 | NPPES |
| New Mexico | Other | 201047864 | PHP & SALUD |
| New Mexico | MEDICAID | 23432 | PHP & SALUD |
| New Mexico | Other | 00NM009T07 | PHP & SALUD |
| New Mexico | Other | C100521093 | PHP & SALUD |
| New Mexico | Other | NM9999 | PHP & SALUD |
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