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MOLINA MEDICAL GROUP OF NEW MEXICO PC NPI 1366877581


NPI Information

NPI: 1366877581
Provider Name: MOLINA MEDICAL GROUP OF NEW MEXICO, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
7317 CENTRAL AVE NE
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 200-3320
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MOLINA MEDICAL GROUP OF NEW MEXICO, PC is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOLINA MEDICAL GROUP OF NEW MEXICO, PC NPI is 1366877581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7317 CENTRAL AVE NE
ALBUQUERQUE, NM
ZIP 87108-015
Phone: (505) 200-3320
Fax: (877) 860-2279

The provider's authorized official is Gloria Calderon .
The authorized official title is Vp, Clinic Operations and has the following contact phone number (562) 499-6191.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 4/23/2015.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerCALIFORNIANo
3207Q00000XFamily MedicineYes

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
1342566- EFF 1/1/14MEDICARE UPINNEW MEXICO
2DV3487-EFF 1/1/14OTHERNEW MEXICORAILROAD MEDICARE
306939074-EFF.1/21/14MEDICAIDNEW 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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