Streetwise Inc

LBN: Streetwise Inc
Streetwise Inc is an health care organization with primary practice located at 4312 Carlisle Blvd Ne , Albuquerque NM 87107-4811. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Streetwise Inc can be contacted via phone (505) 323-3785, or through Marquez, Phyllis via phone (505) 323-3785.

Contact Information

Primary practice address
4312 Carlisle Blvd Ne Albuquerque NM 87107-4811
Phone: (505) 323-3785
Fax: (505) 323-3850
Website:
Map and Directions
Authorized official contact:
Name: Marquez, Phyllis
Phone: (505) 323-3785

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X New Mexico
Agencies / Community/Behavioral Health 251S00000X 600153 New Mexico

Profile Details

NPI number 1649315102
LBN Legal business name Streetwise Inc
DBA Doing business as
Authorized official Marquez, Phyllis
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 21st, 2022 - about 2 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 1649315102 NPPES
New Mexico MEDICAID NM600153

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