University Of New Mexico Medical Group, Inc.
LBN: University Of New Mexico Medical Group, Inc.
University Of New Mexico Medical Group, Inc. is an health care organization with primary practice located at 415 Thaxton Ave Se , Albuquerque NM 87102-4855. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty.
University Of New Mexico Medical Group, Inc. can be contacted via phone (505) 244-0334, or through Masciotra, Anthony via phone (505) 272-8950.
Contact Information
Primary practice address
415 Thaxton Ave Se
Albuquerque NM 87102-4855
Phone: (505) 244-0334
Fax: (505) 272-2043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Student Health | 261QS1000X | PA 2004-0048 | New Mexico |
Profile Details
| NPI number | 1427210590 |
|---|---|
| LBN Legal business name | University Of New Mexico Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Masciotra, Anthony |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427210590 | NPPES |
| New Mexico | MEDICAID | 3A06 |
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