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Contact Information

INTERNAL MEDICINE OF GRANTS
101 GREENLEAF CT
GRANTS, NM87020-4235
 Phone: 505-287-2621
 Fax: 505-287-5119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for INTERNAL MEDICINE OF GRANTS

NPI # 1497774574
LBN Legal business name INTERNAL MEDICINE OF GRANTS
Authorized official H AUGENSTEIN - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2006
Last updated 07/10/2015 - About 11 years ago
Identifiers
NM License # 2000-I38
NM Other NM-003231 BCBS-AUGENSTEIN
NM Other 201025858 PRESBYTERIAN
NM Other 110218817 RAILROAD MEDICARE
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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