| Southwest Integrative Health Center, Llc | |
|
5310 Homestead Rd Ne Ste 400, Albuquerque, NM 87110-1437 | |
| (505) 256-3648 | |
| (505) 256-9778 |
| Full Name | Southwest Integrative Health Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 5310 Homestead Rd Ne Ste 400, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083887988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Aaron B Kaufman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235238387 PECOS PAC ID: 6608934617 Enrollment ID: I20081021000053 |
| Provider Name | Robert C Jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790886240 PECOS PAC ID: 1254378201 Enrollment ID: I20081021000060 |
| Provider Name | Yeonjoo Lee-jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124134887 PECOS PAC ID: 8527126531 Enrollment ID: I20081023000724 |
| Provider Name | Sharon S Gateley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750568515 PECOS PAC ID: 3577620954 Enrollment ID: I20090330000621 |
| Provider Name | Janice F Moranz |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295821098 PECOS PAC ID: 0840459889 Enrollment ID: I20120309000459 |
| Provider Name | Mark J Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145531 PECOS PAC ID: 1254591274 Enrollment ID: I20160621000818 |
| Provider Name | Amy Kathryn Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235639634 PECOS PAC ID: 2668728684 Enrollment ID: I20180705002319 |
| Provider Name | Edward Butler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962036392 PECOS PAC ID: 0244669745 Enrollment ID: I20200404000273 |
| Provider Name | Jennifer Lee Churchill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669065462 PECOS PAC ID: 6507274511 Enrollment ID: I20210412002042 |
| Provider Name | Brittany Paula Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164002275 PECOS PAC ID: 7012326622 Enrollment ID: I20210512001197 |
| Provider Name | Roberta Champouillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134850779 PECOS PAC ID: 9830573922 Enrollment ID: I20220909000385 |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Integrative Health Center, Llc 5310 Homestead Rd Ne, Bldg 400, Albuquerque, NM 87110-1437 Ph: (505) 256-3648 | Southwest Integrative Health Center, Llc 5310 Homestead Rd Ne Ste 400, Albuquerque, NM 87110-1437 Ph: (505) 256-3648 |