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Contact Information

RURAL RADIOLOGY ASSOCIATES TAOS
1397 WEIMAR RD
TAOS, NM87571-6253
 Phone: 575-758-8883
 Fax: 303-468-1394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for RURAL RADIOLOGY ASSOCIATES TAOS

NPI # 1477788644
LBN Legal business name RURAL RADIOLOGY ASSOCIATES TAOS
Authorized official PAUL JOHNSON - (CO OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/18/2009
Last updated 12/20/2019 - About 6 years ago
Identifiers
NM Medicaid 64108236
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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