LIFE FAMILY HEALTHCARE LLC NPI 1124470703

NPI Information

NPI: 1124470703
Provider Name: LIFE FAMILY HEALTHCARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 32D2147122

Address:
717 ENCINO PL NE
SUITE 4
ALBUQUERQUE, NM
ZIP 87102
Phone: (150) 537-9394
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LIFE FAMILY HEALTHCARE, LLC is a primary care clinic center in Albuquerque, NM. LIFE FAMILY HEALTHCARE, LLC NPI is 1124470703. The provider is registered as an organization entity type.

The provider's business location address is:

717 ENCINO PL NE
SUITE 4
ALBUQUERQUE, NM
ZIP 87102-611
Phone: (150) 537-9394

The provider's authorized official is Marilou T Linatoc .
The authorized official title is Cnp and has the following contact phone number (505) 379-3941.

The CLIA number assigned to this NPI record is 32D2147122 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.

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	261QP2300X	Clinic/Center	Primary Care	CNP 01894	NEW MEXICO	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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