OLD TOWN PRIMARY CARE INC. NPI 1417591413

NPI Information

  • NPI: 1417591413
  • Provider Name: OLD TOWN PRIMARY CARE, INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 501 14TH ST NW
    ALBUQUERQUE, NM
    ZIP 87104
  • Phone: (505) 431-2777

Map and Directions

Get Directions

NPI Details

OLD TOWN PRIMARY CARE, INC. is a primary care clinic center in Albuquerque, NM. OLD TOWN PRIMARY CARE, INC. NPI is 1417591413. The provider is registered as an organization entity type.

The provider's business location address is:

501 14TH ST NW
ALBUQUERQUE, NM
ZIP 87104-729
Phone: (505) 431-2777

The provider's authorized official is Angela Baumeister .
The authorized official title is Owner and has the following contact phone number (505) 431-2777.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 11/1/2019.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 3/30/2025

NPI Synchronization or Removal

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.