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Contact Information

CDB 550 LLC
120 E HIGHWAY 550
BERNALILLO, NM87004-5967
 Phone: 505-550-0503
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CDB 550 LLC

NPI Number 1174992564
LBN Legal business name CDB 550 LLC
Authorized official JONAH FOUTZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2015
Last updated 09/16/2015 - About 11 years ago
Identifiers
NM License # DD3662
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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