NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM NPI 1407064926

NPI Information

  • NPI: 1407064926
  • Provider Name: NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • Address: 5301 CENTRAL AVE NE
    SUITE 800
    ALBUQUERQUE, NM
    ZIP 87108
  • Phone: (505) 841-5837

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NPI Details

NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM is a public health or welfare in Albuquerque, NM. NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM NPI is 1407064926. The provider is registered as an organization entity type.

The provider's business location address is:

5301 CENTRAL AVE NE
SUITE 800
ALBUQUERQUE, NM
ZIP 87108-513
Phone: (505) 841-5837
Fax: (505) 222-8602

The provider's authorized official is Barbara E. Hickok .
The authorized official title is Nmdoh Phd Chief Nurse and has the following contact phone number (505) 841-5890.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 8/22/2020.

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
1251K00000XPublic Health or WelfareYes

What is NPI?

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This page was last updated on: 3/30/2025

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