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Contact Information

NEW MEXICO HEART INSTITUTE, LLC
502 ELM ST. NE
ALBUQUERQUE, NM87102
 Phone: 505-841-1000
 Fax: 505-843-2956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEW MEXICO HEART INSTITUTE, LLC

NPI Number 1346242575
LBN Legal business name NEW MEXICO HEART INSTITUTE, LLC
Authorized official STEPHEN PETROVICH - (EVP, GENERAL COUNSEL)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/01/2005
Last updated 07/24/2019 - About 7 years ago
Identifiers
NM License # FA0003020
NM Medicaid H5743
NM Other FA0003020 PT0002833 NMHI BUSINESS REGISTRATIO
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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