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Contact Information

PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.
8005 PENNSYLVANIA CIR NE
ALBUQUERQUE, NM87110-7810
 Phone: 505-248-0698
 Fax: 505-248-0798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Addiction (Substance Use Disorder)

101YA0400X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.

NPI # 1144364472
LBN Legal business name PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.
Authorized official JOAN LEWIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 06/21/2018 - About 8 years ago
Identifiers
NM License # 3659
NM License # 4735
NM License # 94-300
NM License # I-1464
NM Medicaid 21906
NM Other 00NM003410 BLUE SHIELD ID NUMBER
NM Other 201013423 PRESBYTERIAN HEALTH ID
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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