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PRESBYTERIAN INTEL HEALTH FOR LIFE CENTER NPI 1841544814


NPI Information

NPI: 1841544814
Provider Name: PRESBYTERIAN INTEL HEALTH FOR LIFE CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4100 SARA ROAD SE, MSRR5
RIO RANCHO, NM
ZIP 87124
Phone: (505) 253-7900
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PRESBYTERIAN INTEL HEALTH FOR LIFE CENTER is a clinic center in Rio Rancho, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRESBYTERIAN INTEL HEALTH FOR LIFE CENTER NPI is 1841544814. The provider is registered as an organization entity type.

The provider's business location address is:

4100 SARA ROAD SE, MSRR5
RIO RANCHO, NM
ZIP 87124
Phone: (505) 253-7900

The provider's authorized official is Clay Holderman .
The authorized official title is Vice President Cds and has the following contact phone number (505) 724-7283.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.


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
1261Q00000XClinic/CenterCL00010876NEW MEXICOYes

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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