Provider Type Icon

FNCH OUTPATIENT SERVICES NPI 1417472192


NPI Information

NPI: 1417472192
Provider Name: FNCH OUTPATIENT SERVICES

Doing Business As: FNCH OUTPATIENT SERVICES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
634 MANZANO STREET NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 262-2481
Get Directions

FNCH OUTPATIENT SERVICES is a federally qualified health center (fqhc) clinic center in Albuquerque, NM. FNCH OUTPATIENT SERVICES NPI is 1417472192. The provider is registered as an organization entity type.
The provider Is Doing Business As Fnch Outpatient Services.

The provider's business location address is:

634 MANZANO STREET NE
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 262-2481
Fax: (505) 265-7045

The provider's authorized official is Suzette Gutierrez .
The authorized official title is Credentialing Specialist and has the following contact phone number (505) 262-6567.

The enumeration date for this NPI number is 8/3/2017 and was last updated on 6/16/2018.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10004-6912MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.