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NEW MEXICO CHILDRENS KIDNEY CENTER NPI 1245478270


NPI Information

NPI: 1245478270
Provider Name: NEW MEXICO CHILDRENS KIDNEY CENTER
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 32D2163600

Address:
4343 PAN AMERICAN FWY NE
#234
ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 842-5240
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NEW MEXICO CHILDRENS KIDNEY CENTER is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW MEXICO CHILDRENS KIDNEY CENTER NPI is 1245478270. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4343 PAN AMERICAN FWY NE
#234
ALBUQUERQUE, NM
ZIP 87107-834
Phone: (505) 842-5240
Fax: (505) 242-4403

The provider's authorized official is Robert Benjamin Miller .
The authorized official title is Pediatric Nephrology and has the following contact phone number (505) 797-8676.

The CLIA number assigned to this NPI record is 32D2163600 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist98-339NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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