BERNALILLO FAMILY HEALTH CLINIC, LLC; NPI #1801100466

Contact Information

BERNALILLO FAMILY HEALTH CLINIC, LLC

200 OAK ST NE
SUITE 2
ALBUQUERQUE, NM 87106-4740

Phone: 505-508-0197
Fax: 505-508-0465
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	261QP2300X
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory
Urgent Care	261QU0200X

Indicates primary specialty

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NPI Profile & details for BERNALILLO FAMILY HEALTH CLINIC, LLC

NPI Number 1801100466

LBN Legal business name BERNALILLO FAMILY HEALTH CLINIC, LLC

Authorized official JASON DELUISA - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/05/2010

Last updated 02/06/2015 - About 11 years ago

Identifiers

NM	License #	CNP-01518
NM	Medicaid	10326855
NM	Medicaid	21253790
NM	Medicaid	37805771
NM	Medicaid	77304853
NM	Medicaid	Q7732

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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BERNALILLO FAMILY HEALTH CLINIC, LLC

Contact Information

Specialty

Primary Care

Clinical Medical Laboratory

Urgent Care

NPI Profile & details for BERNALILLO FAMILY HEALTH CLINIC, LLC

Reviews for BERNALILLO FAMILY HEALTH CLINIC, LLC