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SECOND CHANCE CENTER NM NPI 1922273697


NPI Information

NPI: 1922273697
Provider Name: SECOND CHANCE CENTER NM
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7440 JIM MCDOWELL ROAD
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 836-4025
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SECOND CHANCE CENTER NM is a primary care clinic center in Albuquerque, NM. SECOND CHANCE CENTER NM NPI is 1922273697. The provider is registered as an organization entity type.

The provider's business location address is:

7440 JIM MCDOWELL ROAD
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 836-4025

The provider's authorized official is Rick Pendry .
The authorized official title is Manager and has the following contact phone number (505) 991-6961.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.


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
1261QU0200XClinic/CenterUrgent CareNo
2261QP2300XClinic/CenterPrimary CareYes

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

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.