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UNMSOM 89 NPI 1396906798


NPI Information

NPI: 1396906798
Provider Name: UNMSOM 89

Doing Business As: MIDTOWN FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 32D1088217

Address:
1821 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 255-1228
Get Directions

UNMSOM 89 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. UNMSOM 89 NPI is 1396906798. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Midtown Family Medicine.

The provider's business location address is:

1821 CARLISLE BLVD NE
ALBUQUERQUE, NM
ZIP 87110-905
Phone: (505) 255-1228
Fax: (505) 255-1394

The provider's authorized official is Donald J Ortiz .
The authorized official title is Partner and has the following contact phone number (505) 255-1228.

The CLIA number assigned to this NPI record is 32D1088217 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 4/7/2011.


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
1207Q00000XFamily Medicine03-136327-00-0NEW MEXICOYes

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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