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Contact Information

SOUTHWESTERN PROVIDER SERVICES LLC
6400 PASEO DEL NORTE
ALBUQUERQUE, NM87113
 Phone: 865-693-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Ambulatory Care

163WP2201X
 

Emergency

163WE0003X
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SOUTHWESTERN PROVIDER SERVICES LLC

NPI # 1336608504
LBN Legal business name SOUTHWESTERN PROVIDER SERVICES LLC
Authorized official ROBERT FRANTZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2019
Last updated 01/10/2020 - About 6 years 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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