New Mexico Family Clinic Llc

LBN: New Mexico Family Clinic Llc
New Mexico Family Clinic Llc is an health care organization with primary practice located at 3908 Juan Tabo Blvd Ne , Albuquerque NM 87111-3971. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. New Mexico Family Clinic Llc can be contacted via phone (505) 881-4012, or through Franco, Carla via phone (505) 881-4012.

Contact Information

Primary practice address
3908 Juan Tabo Blvd Ne Albuquerque NM 87111-3971
Fax: (505) 881-4898
Website:
Authorized official contact:
Name: Franco, Carla FNP-BC

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP00453 New Mexico

Profile Details

NPI number 1023366374
LBN Legal business name New Mexico Family Clinic Llc
DBA Doing business as
Authorized official Franco, Carla FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2012
Last updated Aug 16th, 2012 - about 12 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 1023366374 NPPES
New Mexico MEDICAID 51107066

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