UNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC. NPI 1568623502

NPI Information

NPI: 1568623502
Provider Name: UNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC.
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1101 PARK AVE SW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 248-1116
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UNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC. is a student health clinic center in Albuquerque, NM. UNIVERSITY OF NEW MEXICO MEDICAL GROUP. INC. NPI is 1568623502. The provider is registered as an organization entity type.

The provider's business location address is:

1101 PARK AVE SW
ALBUQUERQUE, NM
ZIP 87102-967
Phone: (505) 248-1116

The provider's authorized official is Anthony Masciotra .
The authorized official title is Ceo and has the following contact phone number (505) 272-8950.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 6/23/2008.

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	261QS1000X	Clinic/Center	Student Health	R35040	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	Other Provider Identifier Issuer
1	3A05	MEDICAID	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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