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Contact Information

LISTO HEALTH LLC
5400 GIBSON BLVD SE
ALBUQUERQUE, NM87108-5566
 Phone: 505-418-1777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LISTO HEALTH LLC

NPI Number 1437965415
LBN Legal business name LISTO HEALTH LLC
Authorized official ALEX MCCABE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2024
Last updated 12/10/2024 - 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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