BELLA VIDA HEALTH CARE AND MEDI SPA NPI 1568704237

NPI Information

  • NPI: 1568704237
  • Provider Name: BELLA VIDA HEALTH CARE AND MEDI SPA
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 32D2064031
  • Address: 328 MAIN ST NE
    LOS LUNAS, NM
    ZIP 87031
  • Phone: (505) 916-5167

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NPI Details

BELLA VIDA HEALTH CARE AND MEDI SPA is a health service clinic center in Los Lunas, NM. BELLA VIDA HEALTH CARE AND MEDI SPA NPI is 1568704237. The provider is registered as an organization entity type.

The provider's business location address is:

328 MAIN ST NE
LOS LUNAS, NM
ZIP 87031-454
Phone: (505) 916-5167

The provider's authorized official is Frank D Chavez .
The authorized official title is Operations and has the following contact phone number (505) 514-6202.

The CLIA number assigned to this NPI record is 32D2064031 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2013 and was last updated on 3/20/2013.

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
1261QH0100XClinic/CenterHealth ServiceYes

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

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