BLOOM NEW MEXICO LLC NPI 1750942207

NPI Information

NPI: 1750942207
Provider Name: BLOOM NEW MEXICO LLC

Doing Business As: AMERICAN FAMILY CARE

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
2930 E MAIN ST
FARMINGTON, NM
ZIP 87402
Phone: (505) 326-6000
Get Directions

BLOOM NEW MEXICO LLC is a multi-specialty clinic center in Farmington, NM. BLOOM NEW MEXICO LLC NPI is 1750942207. The provider is registered as an organization entity type.
The provider Is Doing Business As American Family Care.

The provider's business location address is:

2930 E MAIN ST
FARMINGTON, NM
ZIP 87402-624
Phone: (505) 326-6000

The provider's authorized official is Spencer Smith .
The authorized official title is Ceo and has the following contact phone number (970) 565-1919.

The CLIA number assigned to this NPI record is 32D2182257 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2019 and was last updated on 5/6/2020.

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			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »