CLINIMED CORPORATION NPI 1407035124

NPI Information

  • NPI: 1407035124
  • Provider Name: CLINIMED CORPORATION
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Doing Business As: CLINIMED WALK-IN
  • Address: 6570 4TH ST NW
    ALBUQUERQUE, NM
    ZIP 87107
  • Phone: (505) 345-3800

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NPI Details

CLINIMED CORPORATION is a family nurse practitioner in Albuquerque, NM. CLINIMED CORPORATION NPI is 1407035124. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clinimed Walk-in.

The provider's business location address is:

6570 4TH ST NW
ALBUQUERQUE, NM
ZIP 87107-813
Phone: (505) 345-3800
Fax: (505) 345-7840

The provider's authorized official is Donald Merle Hathaway .
The authorized official title is Owner and has the following contact phone number (505) 345-3800.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.

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
1363LF0000XNurse PractitionerFamilyR 14825NEW MEXICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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