Southewesnt Ob/Gyn

LBN: Southewesnt Ob/Gyn
Southewesnt Ob/Gyn is an health care organization with primary practice located at 622 W Maple St Ste I , Farmington NM 87401-6589. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southewesnt Ob/Gyn can be contacted via phone (505) 325-4898, or through Fisher, Mark via phone (505) 325-4898.

Contact Information

Primary practice address
622 W Maple St Ste I Farmington NM 87401-6589
Phone: (505) 325-4898
Fax: (505) 325-7898
Website:
Map and Directions
Authorized official contact:
Name: Fisher, Mark Doctor of Medicine (MD)
Phone: (505) 325-4898

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 680659818 New Mexico

Profile Details

NPI number 1518123611
LBN Legal business name Southewesnt Ob/Gyn
DBA Doing business as
Authorized official Fisher, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2008
Last updated Jul 29th, 2008 - about 17 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 1518123611 NPPES
New Mexico MEDICAID 12986062

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