Mayedel A. San Jose Pc
LBN: Mayedel A. San Jose Pc
Mayedel A. San Jose Pc is an health care organization with primary practice located at 1245 Country Club Rd Ste 200 , Santa Teresa NM 88008-9743. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Mayedel A. San Jose Pc can be contacted via phone (575) 332-4633, or through San Jose, Mayedel via phone (575) 332-4633.
Contact Information
Primary practice address
1245 Country Club Rd Ste 200
Santa Teresa NM 88008-9743
Phone: (575) 332-4633
Fax: (877) 209-8941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1083305510 |
|---|---|
| LBN Legal business name | Mayedel A. San Jose Pc |
| DBA Doing business as | |
| Authorized official | San Jose, Mayedel DNP, APRN, FNP-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 16th, 2023 |
| Last updated | May 16th, 2023 - about 2 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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