AMIR H. MANOUTCHEHRI M.D. PC NPI 1548404825

NPI Information

NPI: 1548404825
Provider Name: AMIR H. MANOUTCHEHRI M.D. PC

Doing Business As: PINERIDGE-URGENT CARE & MEDICAL CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 32D1002003

Address:
12125 STATE HIGHWAY 14 N.
CEDAR CREST, NM
ZIP 87008
Phone: (505) 407-2174
Get Directions

AMIR H. MANOUTCHEHRI M.D. PC is an urgent care clinic center in Cedar Crest, NM. AMIR H. MANOUTCHEHRI M.D. PC NPI is 1548404825. The provider is registered as an organization entity type.
The provider Is Doing Business As Pineridge-urgent Care & Medical Center.

The provider's business location address is:

12125 STATE HIGHWAY 14 N.
CEDAR CREST, NM
ZIP 87008
Phone: (505) 407-2174
Fax: (505) 407-2174

The provider's authorized official is Amir H Manoutchehri .
The authorized official title is Physician/owner and has the following contact phone number (505) 407-2174.

The CLIA number assigned to this NPI record is 32D1002003 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2009 and was last updated on 7/21/2014.

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	87-108	NEW MEXICO	No
2	261QP2300X	Clinic/Center	Primary Care	87108	NEW MEXICO	No
3	207P00000X	Emergency Medicine		87108	NEW MEXICO	No
4	261QU0200X	Clinic/Center	Urgent Care	87108	NEW MEXICO	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
1	NMA100560	MEDICARE PIN
2	E42476	MEDICARE UPIN	NEW MEXICO
3	NMA100560	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: 5/5/2024

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