Mayimrapha Comprehensive Healthcare, Inc

LBN: Mayimrapha Comprehensive Healthcare, Llc
Mayimrapha Comprehensive Healthcare, Inc is an health care organization with primary practice located at 4253 Montgomery Blvd Ne Ste 130 , Albuquerque NM 87109-1113. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mayimrapha Comprehensive Healthcare, Llc can be contacted via phone (505) 881-5307, or through Ukanwa, Melanie via phone (505) 881-5307.

Contact Information

Primary practice address
4253 Montgomery Blvd Ne Ste 130 Albuquerque NM 87109-1113
Phone: (505) 881-5307
Fax: (505) 908-3816
Website:
Map and Directions
Authorized official contact:
Name: Ukanwa, Melanie Doctor of Medicine (MD)
Phone: (505) 881-5307

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1457639262
LBN Legal business name Mayimrapha Comprehensive Healthcare, Llc
DBA Doing business as Mayimrapha Comprehensive Healthcare, Inc
Authorized official Ukanwa, Melanie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2011
Last updated Apr 11th, 2019 - about 6 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 1457639262 NPPES
New Mexico MEDICAID 59673079

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