Southwest Recovery And Wellness Llc

LBN: Southwest Recovery And Wellness Llc
Southwest Recovery And Wellness Llc is an health care organization with primary practice located at 3874 Masthead St Ne , Albuquerque NM 87109-4479. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Southwest Recovery And Wellness Llc can be contacted via phone (505) 896-9412, or through Miller, Robert D. via phone (323) 854-8587.

Contact Information

Primary practice address
3874 Masthead St Ne Albuquerque NM 87109-4479
Fax: (505) 895-2505
Website:
Authorized official contact:
Name: Miller, Robert D.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1043713415
LBN Legal business name Southwest Recovery And Wellness Llc
DBA Doing business as
Authorized official Miller, Robert D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2018
Last updated Mar 13th, 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 1043713415 NPPES
New Mexico MEDICAID 1568643146

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