Rio Grande Internal Medicine Pc

LBN: Rio Grande Internal Medicine Pc
Rio Grande Internal Medicine Pc is an health care organization with primary practice located at 4801 Mcmahon Blvd Nw Suite 235, Albuquerque NM 87114-5090. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Rio Grande Internal Medicine Pc can be contacted via phone (505) 792-2636, or through Goodluck, Kevin J via phone (505) 792-2636.

Contact Information

Primary practice address
4801 Mcmahon Blvd Nw Suite 235 Albuquerque NM 87114-5090
Phone: (505) 792-2636
Fax: (505) 234-1707
Website:
Map and Directions
Authorized official contact:
Name: Goodluck, Kevin J Doctor of Medicine (MD)
Phone: (505) 792-2636

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 97251 New Mexico

Profile Details

NPI number 1750688032
LBN Legal business name Rio Grande Internal Medicine Pc
DBA Doing business as
Authorized official Goodluck, Kevin J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2011
Last updated Oct 19th, 2011 - about 14 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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