EL PUEBLO HEALTH SERVICES INC NPI 1144302415

NPI Information

NPI: 1144302415
Provider Name: EL PUEBLO HEALTH SERVICES, INC

Doing Business As: EL PUEBLO FAMILY HEALTHCARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
121 CALLE DEL PRESIDENTE
BERNALILLO, NM
ZIP 87004
Phone: (505) 867-2324
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EL PUEBLO HEALTH SERVICES, INC is a family nurse practitioner in Bernalillo, NM. EL PUEBLO HEALTH SERVICES, INC NPI is 1144302415. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As El Pueblo Family Healthcare.

The provider's business location address is:

121 CALLE DEL PRESIDENTE
BERNALILLO, NM
ZIP 87004-091
Phone: (505) 867-2324
Fax: (505) 867-3511

The provider's authorized official is Geoffrey D Steffens .
The authorized official title is Ceo/cnp and has the following contact phone number (505) 867-2324.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 4/27/2023.

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	207Q00000X	Family Medicine		92-263	NEW MEXICO	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
3	363LF0000X	Nurse Practitioner	Family	R34317	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	47902	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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