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COMPREHENSIVE SLEEP SOLUTIONS LLC NPI 1790720662


NPI Information

NPI: 1790720662
Provider Name: COMPREHENSIVE SLEEP SOLUTIONS, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
4801 N BUTLER AVE
STE 6102
FARMINGTON, NM
ZIP 87401
Phone: (505) 327-6776
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COMPREHENSIVE SLEEP SOLUTIONS, LLC is a sleep disorder diagnostic clinic center in Farmington, NM. COMPREHENSIVE SLEEP SOLUTIONS, LLC NPI is 1790720662. The provider is registered as an organization entity type.

The provider's business location address is:

4801 N BUTLER AVE
STE 6102
FARMINGTON, NM
ZIP 87401-002
Phone: (505) 327-6776
Fax: (505) 327-5597

The provider's authorized official is Teri Lynn Jamison .
The authorized official title is Government Compliance Manager and has the following contact phone number (480) 446-9010.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 3/9/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS1200XClinic/CenterSleep Disorder Diagnostic03-001252-00-0NEW MEXICOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NMB2416OTHERNEW MEXICOMEDICARE PTAN # EFFECTIVE 01/14/10
2100521068MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICOMEDICARE PROVIDER #

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

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