Isleta Clinic | |
11000 Broadway Blvd Se Suite 1 Albuquerque NM 87105-7469 | |
(505) 244-8116 | |
Not Available |
Full Name | Isleta Clinic |
---|---|
Speciality | Clinic/center |
Location | 11000 Broadway Blvd Se, Albuquerque, New Mexico |
Authorized Official Name and Position | Jennifer L Sandoval (DIRECTOR OF CONTRACTING) |
Authorized Official Contact | 5057270019 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Isleta Clinic 11000 Broadway Blvd Se Suite 1 Albuquerque NM 87105-7469 Ph: (505) 244-8116 | Isleta Clinic 11000 Broadway Blvd Se Suite 1 Albuquerque NM 87105-7469 Ph: (505) 244-8116 |
NPI Number | 1225357981 |
---|---|
Provider Enumeration Date | 05/20/2010 |
Last Update Date | 05/20/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225357981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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