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Contact Information

GRAND SUMMIT LLC
13139 CENTRAL AVE NE
ALBUQUERQUE, NM87123
 Phone: 505-595-1607
 Fax:
 Website: https://www.grandsummit.org/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for GRAND SUMMIT LLC

NPI Number 1750107199
LBN Legal business name GRAND SUMMIT LLC
Authorized official BAKHTAR EHSAN - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2024
Last updated 05/20/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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