KOLOMEIR CLINIC LLC NPI 1982995205

NPI Information

NPI: 1982995205
Provider Name: KOLOMEIR CLINIC, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5345 WYOMING BLVD
SUITE 101
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 856-6898
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KOLOMEIR CLINIC, LLC is an adult mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. KOLOMEIR CLINIC, LLC NPI is 1982995205. The provider is registered as an organization entity type.

The provider's business location address is:

5345 WYOMING BLVD
SUITE 101
ALBUQUERQUE, NM
ZIP 87109-193
Phone: (505) 856-6898
Fax: (505) 292-1574

The provider's authorized official is Maureen Kolomeir .
The authorized official title is Nurse Practitioner Owner and has the following contact phone number (505) 720-3819.

The enumeration date for this NPI number is 4/20/2011 and was last updated on 1/28/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NMA100093	MEDICARE PIN	NEW MEXICO
2	84887231	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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