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Contact Information

LOVELACE HEALTH SYSTEMS INC
9101 MONTGOMERY BLVD NE
ALBUQUERQUE, NM87111-2405
 Phone: 505-727-5930
 Fax: 505-727-9073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LOVELACE HEALTH SYSTEMS INC

NPI # 1528142668
LBN Legal business name LOVELACE HEALTH SYSTEMS INC
Authorized official BRAD TROM - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/25/2006
Last updated 03/19/2014 - About 12 years ago
Identifiers
NM License # PH00001693
NM Medicaid 66142
Other 2057844 PK
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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