Integrated Family Wellness Center, Llc
LBN: Integrated Family Wellness Center, Llc
Integrated Family Wellness Center, Llc is an health care organization with primary practice located at 8300 San Pedro Dr Ne , Albuquerque NM 87113-1703. 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.
Integrated Family Wellness Center, Llc can be contacted via phone (505) 293-1658, or through Marcus, Philomena E via phone (505) 293-1658.
Contact Information
Primary practice address
8300 San Pedro Dr Ne
Albuquerque NM 87113-1703
Phone: (505) 293-1658
Fax: (505) 298-4737
Website:
Authorized official contact:
Name: Marcus, Philomena E Certified Family Nurse Practitioner (CFNP)
Phone: (505) 293-1658
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R25188 | New Mexico |
Profile Details
| NPI number | 1184904054 |
|---|---|
| LBN Legal business name | Integrated Family Wellness Center, Llc |
| DBA Doing business as | |
| Authorized official | Marcus, Philomena E Certified Family Nurse Practitioner (CFNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Aug 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184904054 | NPPES |
| New Mexico | MEDICAID | 94108897 |
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