ORTEGA WELLNESS NPI 1013464379

NPI Information

NPI: 1013464379
Provider Name: ORTEGA WELLNESS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 32D2178327

Address:
1101 GOLF COURSE RD SE
SUITE 203
RIO RANCHO, NM
ZIP 87124
Phone: (505) 340-0406
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ORTEGA WELLNESS is a primary care clinic center in Rio Rancho, NM. ORTEGA WELLNESS NPI is 1013464379. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 GOLF COURSE RD SE
SUITE 203
RIO RANCHO, NM
ZIP 87124-731
Phone: (505) 340-0406
Fax: (505) 340-0405

The provider's authorized official is Monica E Ortega .
The authorized official title is Owner and has the following contact phone number (505) 340-0406.

The CLIA number assigned to this NPI record is 32D2178327 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2016 and was last updated on 5/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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