Mesa Occupational & Sports Medicine

LBN: Mesa Occupational & Sports Medicine
Mesa Occupational & Sports Medicine is an health care organization with primary practice located at 2700 Farmington Ave Building F And G, Farmington NM 87401-4559. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mesa Occupational & Sports Medicine can be contacted via phone (505) 325-1100, or through Mosley, Jeffrey Frederick via phone (505) 325-1100.

Contact Information

Primary practice address
2700 Farmington Ave Building F And G Farmington NM 87401-4559
Phone: (505) 325-1100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mosley, Jeffrey Frederick
Phone: (505) 325-1100

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1518067446
LBN Legal business name Mesa Occupational & Sports Medicine
DBA Doing business as
Authorized official Mosley, Jeffrey Frederick
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 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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