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HEAVENLY HEALTH INC NPI 1427118926


NPI Information

NPI: 1427118926
Provider Name: HEAVENLY HEALTH INC

Doing Business As: HEAVENLY HEALTH FNP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
308 EAST HILL AVENUE
GALLUP, NM
ZIP 87301
Phone: (505) 722-6770
Get Directions

HEAVENLY HEALTH INC is a family medicine in Gallup, 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. HEAVENLY HEALTH INC NPI is 1427118926. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heavenly Health Fnp.

The provider's business location address is:

308 EAST HILL AVENUE
GALLUP, NM
ZIP 87301
Phone: (505) 722-6770
Fax: (505) 722-6799

The provider's authorized official is Georges Duval .
The authorized official title is Vice President and has the following contact phone number (505) 722-6770.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 11/8/2011.


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 MedicineYes

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
1S9269MEDICAIDNEW MEXICO
2300521008MEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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