Manzano Medical Group, P.C.

LBN: Manzano Medical Group, P.C.
Manzano Medical Group, P.C. is an health care organization with primary practice located at 505 Elm St Ne , Albuquerque NM 87102-2500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Manzano Medical Group, P.C. can be contacted via phone (505) 727-4919, or through Sloan, John Henry via phone (505) 727-4919.

Contact Information

Primary practice address
505 Elm St Ne Albuquerque NM 87102-2500
Phone: (505) 727-4919
Fax: (505) 727-4915
Website:
Map and Directions
Authorized official contact:
Name: Sloan, John Henry Doctor of Medicine (MD)
Phone: (505) 727-4919

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X

Profile Details

NPI number 1881704096
LBN Legal business name Manzano Medical Group, P.C.
DBA Doing business as
Authorized official Sloan, John Henry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881704096 NPPES
New Mexico MEDICAID A5074

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