Southwest Medical Associates, Llc

LBN: Southwest Medical Associates, Llc
Southwest Medical Associates, Llc is an health care organization with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / General Practice, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Southwest Medical Associates, Llc can be contacted via phone (505) 727-6200, or through Petrovich, Stephen C via phone (615) 296-3000.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Map and Directions
Authorized official contact:
Name: Petrovich, Stephen C
Phone: (615) 296-3000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1164491072
LBN Legal business name Southwest Medical Associates, Llc
DBA Doing business as
Authorized official Petrovich, Stephen C
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 14th, 2006
Last updated Apr 5th, 2021 - about 3 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 1164491072 NPPES
New Mexico MEDICAID 48249

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