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 1101 Park Ave Sw , Albuquerque NM 87102-2967. 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) 248-1116, or through Masciotra, Anthony via phone (505) 272-8950.

Contact Information

Primary practice address
1101 Park Ave Sw Albuquerque NM 87102-2967
Phone: (505) 248-1116
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Masciotra, Anthony
Phone: (505) 272-8950

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X R35040 New Mexico

Profile Details

NPI number 1568623502
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 23rd, 2008
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568623502 NPPES
New Mexico MEDICAID 3A05

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