SUMMITS HEALTHCARE LLC NPI 1740833243

NPI Information

NPI: 1740833243
Provider Name: SUMMITS HEALTHCARE, LLC

Doing Business As: SUMMIT HEALTHCARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 32D2026615

Address:
111 N PEARL ST
DEMING, NM
ZIP 88030
Phone: (575) 517-2725
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SUMMITS HEALTHCARE, LLC is a family nurse practitioner in Deming, NM. SUMMITS HEALTHCARE, LLC NPI is 1740833243. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Summit Healthcare.

The provider's business location address is:

111 N PEARL ST
DEMING, NM
ZIP 88030-835
Phone: (575) 517-2725
Fax: (575) 517-2280

The provider's authorized official is Eduard Schander .
The authorized official title is Owner/provider and has the following contact phone number (717) 331-4676.

The CLIA number assigned to this NPI record is 32D2026615 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/23/2019 and was last updated on 1/1/2024.

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	363LF0000X	Nurse Practitioner	Family			Yes

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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