BERNALILLO FAMILY HEALTH CLINIC LLC NPI 1801100466

NPI Information

BERNALILLO FAMILY HEALTH CLINIC, LLC is a primary care clinic center in Albuquerque, NM. BERNALILLO FAMILY HEALTH CLINIC, LLC NPI is 1801100466. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Street Clinic.

The provider's business location address is:

200 OAK ST NE
SUITE 2
ALBUQUERQUE, NM
ZIP 87106-740
Phone: (505) 508-0197
Fax: (505) 508-0465

The provider's authorized official is Jason Deluisa .
The authorized official title is Owner and has the following contact phone number (505) 331-0295.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 2/6/2015.

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:

Other Identifiers

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