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PREMISE HEALTH OF NEW MEXICO MEDICAL P C NPI 1922381136


NPI Information

NPI: 1922381136
Provider Name: PREMISE HEALTH OF NEW MEXICO MEDICAL P C

Doing Business As: INTEL HEALTH FOR LIFE CENTER RIO RANCHO

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 32D1104214

Address:
1600 RIO RANCHO DR SE
RIO RANCHO, NM
ZIP 87124
Phone: (505) 794-8032
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PREMISE HEALTH OF NEW MEXICO MEDICAL P C 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). PREMISE HEALTH OF NEW MEXICO MEDICAL P C NPI is 1922381136. The provider is registered as an organization entity type.
The provider Is Doing Business As Intel Health For Life Center Rio Rancho.

The provider's business location address is:

1600 RIO RANCHO DR SE
RIO RANCHO, NM
ZIP 87124-092
Phone: (505) 794-8032
Fax: (505) 794-8091

The provider's authorized official is Peter J Vasquez .
The authorized official title is President and has the following contact phone number (844) 407-7557.

The CLIA number assigned to this NPI record is 32D1104214 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2011 and was last updated on 10/8/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

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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