DEVINE FAMILY HEALTHCARE; NPI #1013086685

Contact Information

DEVINE FAMILY HEALTHCARE

38 APACHE PLUME RD
LOS LUNAS, NM 87031-9545

Phone: 505-859-0686
Fax: 505-565-2835
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Primary Care	261QP2300X

Indicates primary specialty

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NPI Profile & details for DEVINE FAMILY HEALTHCARE

NPI Number 1013086685

LBN Legal business name DEVINE FAMILY HEALTHCARE

Authorized official MARY DEVINE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

NM	License #	R48132
NM	Medicaid	69304718

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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