New Mexico Department Of Health, Special Needs Dental Clinic

LBN: New Mexico Department Of Health
New Mexico Department Of Health, Special Needs Dental Clinic is an health care organization with primary practice located at 7905 Marble Ave Ne , Albuquerque NM 87110-7886. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. New Mexico Department Of Health can be contacted via phone (505) 232-5710, or through Copeland, Jim via phone (505) 660-3453.

Contact Information

Primary practice address
7905 Marble Ave Ne Albuquerque NM 87110-7886
Fax: (505) 232-5720
Website:
Authorized official contact:
Name: Copeland, Jim

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DD1302 New Mexico
Dental Providers / General Practice 1223G0001X DD3457 New Mexico

Profile Details

NPI number 1912024027
LBN Legal business name New Mexico Department Of Health
DBA Doing business as New Mexico Department Of Health, Special Needs Dental Clinic
Authorized official Copeland, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 9th, 2018 - 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 1912024027 NPPES
New Mexico MEDICAID 89623

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