Town Of Cochiti Lake

LBN: Town Of Cochiti Lake
Town Of Cochiti Lake is an health care organization with primary practice located at 6515C Hoochaneetsa Blvd , Cochiti Lake NM 87083-6031. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Town Of Cochiti Lake can be contacted via phone (505) 465-2421, or through Gurule, John W via phone (505) 697-0484.

Contact Information

Primary practice address
6515C Hoochaneetsa Blvd Cochiti Lake NM 87083-6031
Phone: (505) 465-2421
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gurule, John W
Phone: (505) 697-0484

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1558435990
LBN Legal business name Town Of Cochiti Lake
DBA Doing business as
Authorized official Gurule, John W
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2006
Last updated Sep 21st, 2017 - about 8 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 1558435990 NPPES
New Mexico MEDICAID P4704

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