Organization Name: | ALBUQUERQUE VAMC |
NPI Number: | 1053361634 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA DUNCAN (EBILLING PROJECT MANAGER) |
Mailing Address: | 3199 N White Sands Blvd Suite D10 - White Sands Mall Alamogordo |
State: | NM US |
Postal Code: | 883106162 |
Phone Number: | 7023413307 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 02/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QV0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | VA |
Taxonomy Definition: |