DIABETES SELF-MANAGEMENT CENTER INC NPI 1225178221

NPI Information

NPI: 1225178221
Provider Name: DIABETES SELF-MANAGEMENT CENTER, INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
717 ENCINO PL NE
28
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 338-4800
Get Directions

DIABETES SELF-MANAGEMENT CENTER, INC is a health service clinic center in Albuquerque, NM. DIABETES SELF-MANAGEMENT CENTER, INC NPI is 1225178221. The provider is registered as an organization entity type.

The provider's business location address is:

717 ENCINO PL NE
28
ALBUQUERQUE, NM
ZIP 87102-611
Phone: (505) 338-4800
Fax: (505) 338-4800

The provider's authorized official is Valerie Quinn .
The authorized official title is Ceo and has the following contact phone number (505) 338-4800.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 4/22/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	02373964009	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	00NM00R34Y	OTHER	NEW MEXICO	BCBS
2	201079858	OTHER	NEW MEXICO	PRESBYTERIAN HEALTH PLAN
3	400521146	MEDICARE PIN	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: 4/28/2024

NPI Synchronization or Removal

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