RELIANCE MEDICAL GROUP LLC NPI 1497851208

NPI Information

NPI: 1497851208
Provider Name: RELIANCE MEDICAL GROUP LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 32D1085356

Address:
3451 N BUTLER AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 566-1915
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RELIANCE MEDICAL GROUP LLC is an urgent care clinic center in Farmington, NM. RELIANCE MEDICAL GROUP LLC NPI is 1497851208. The provider is registered as an organization entity type.

The provider's business location address is:

3451 N BUTLER AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 566-1915
Fax: (505) 566-1918

The provider's authorized official is James L Holgate .
The authorized official title is Vice President and has the following contact phone number (505) 566-1915.

The CLIA number assigned to this NPI record is 32D1085356 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 5/19/2015.

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
1	261QU0200X	Clinic/Center	Urgent Care			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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	27856721	MEDICAID	NEW MEXICO
2	100521079	MEDICARE PIN	NEW 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

NPI Synchronization or Removal

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