1477111482 NPI number — SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC

Table of content: (NPI 1477111482)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477111482 NPI number — SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477111482
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1016 W PIERCE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
88220-4013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-885-3445
Provider Business Mailing Address Fax Number:
575-887-0163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5419 N LOVINGTON HWY STE 9
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOBBS
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88240-9135
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-964-8770
Provider Business Practice Location Address Fax Number:
575-887-0163
Provider Enumeration Date:
06/04/2019

Additional Information

Authorized Official

Authorized Official Last Name:
MAGEE
Authorized Official First Name:
OLGA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRACTICE MANAGER
Authorized Official Telephone Number:
575-885-3445

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89008863 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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