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ALBUQUERQUE AMBULATORY EYE SURGERY CENTER LLC NPI 1205878758


NPI Information

NPI: 1205878758
Provider Name: ALBUQUERQUE AMBULATORY EYE SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 823-8545
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ALBUQUERQUE AMBULATORY EYE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Albuquerque, NM. ALBUQUERQUE AMBULATORY EYE SURGERY CENTER, LLC NPI is 1205878758. The provider is registered as an organization entity type.

The provider's business location address is:

5901 HARPER DR NE
ALBUQUERQUE, NM
ZIP 87109-587
Phone: (505) 823-8545
Fax: (505) 823-8549

The provider's authorized official is Janice E. Young .
The authorized official title is Cfo and has the following contact phone number (505) 246-2622.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 1/10/2014.


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
1261QA1903XClinic/CenterAmbulatory Surgical3087NEW 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
128957512OTHERNEW MEXICOCOLORADO MEDICAID
2490005505OTHERNEW MEXICORRB RAILROAD MEDICARE
3NM00SS87OTHERNEW MEXICOBCBSNM
434301364MEDICAIDNEW MEXICO
5154528701OTHERNEW MEXICOTEXAS MEDICAID
6741597OTHERNEW MEXICOARIZONA MEDICAID
7800521033MEDICARE PINNEW 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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