High Desert Family Foot Care

LBN: Synergy Wellness Center Llc
High Desert Family Foot Care is an health care organization with primary practice located at 4801 Lang Ave Ne Suite 110, Albuquerque NM 87109-4474. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Synergy Wellness Center Llc can be contacted via phone (505) 892-9700, or through Gerstner, Gloria Isabel via phone (505) 892-9700.

Contact Information

Primary practice address
4801 Lang Ave Ne Suite 110 Albuquerque NM 87109-4474
Fax: (505) 892-1210
Website:
Authorized official contact:
Name: Gerstner, Gloria Isabel DPM MS

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 307 New Mexico

Profile Details

NPI number 1154595825
LBN Legal business name Synergy Wellness Center Llc
DBA Doing business as High Desert Family Foot Care
Authorized official Gerstner, Gloria Isabel DPM MS
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated May 6th, 2013 - about 11 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 1154595825 NPPES
New Mexico MEDICAID 07835761

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