Molina Medical Group Of New Mexico, Pc

LBN: Molina Medical Group Of New Mexico, Pc
Molina Medical Group Of New Mexico, Pc is an health care organization with primary practice located at 7317 Central Ave Ne , Albuquerque NM 87108-2015. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Molina Medical Group Of New Mexico, Pc can be contacted via phone (505) 200-3320, or through Calderon, Gloria via phone (562) 499-6191.

Contact Information

Primary practice address
7317 Central Ave Ne Albuquerque NM 87108-2015
Phone: (505) 200-3320
Fax: (877) 860-2279
Website:
Map and Directions
Authorized official contact:
Name: Calderon, Gloria
Phone: (562) 499-6191

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X California

Profile Details

NPI number 1366877581
LBN Legal business name Molina Medical Group Of New Mexico, Pc
DBA Doing business as
Authorized official Calderon, Gloria
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2013
Last updated Apr 23rd, 2015 - about 9 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 1366877581 NPPES
New Mexico MEDICAID 06939074-EFF.1/21/14
New Mexico Other DV3487-EFF 1/1/14

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