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UNIVERSITY OF NEW MEXICO NPI 1043461163


NPI Information

NPI: 1043461163
Provider Name: UNIVERSITY OF NEW MEXICO
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1111 EASTERDAY DR NE
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 299-2113
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UNIVERSITY OF NEW MEXICO is a student health clinic center in Albuquerque, NM. UNIVERSITY OF NEW MEXICO NPI is 1043461163. The provider is registered as an organization entity type.

The provider's business location address is:

1111 EASTERDAY DR NE
ALBUQUERQUE, NM
ZIP 87112-115
Phone: (505) 299-2113
Fax: (505) 323-1338

The provider's authorized official is Anthony Masciatra .
The authorized official title is Ceo and has the following contact phone number (505) 272-8950.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.


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
1261QS1000XClinic/CenterStudent HealthR45196NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13A12MEDICAIDNEW MEXICO

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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