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 |
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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 |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235238387 PECOS PAC ID: 6608934617 Enrollment ID: I20081021000053 |
Provider Name | Robert C Jones |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790886240 PECOS PAC ID: 1254378201 Enrollment ID: I20081021000060 |
Provider Name | Yeonjoo Lee-jones |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1124134887 PECOS PAC ID: 8527126531 Enrollment ID: I20081023000724 |
Provider Name | Sharon S Gateley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750568515 PECOS PAC ID: 3577620954 Enrollment ID: I20090330000621 |
Provider Name | Janice F Moranz |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1295821098 PECOS PAC ID: 0840459889 Enrollment ID: I20120309000459 |
Provider Name | Mark J Stevens |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013145531 PECOS PAC ID: 1254591274 Enrollment ID: I20160621000818 |
Provider Name | Rubeena Rehman Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497284533 PECOS PAC ID: 4284993999 Enrollment ID: I20180125000737 |
Provider Name | Amy Kathryn Rohr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235639634 PECOS PAC ID: 2668728684 Enrollment ID: I20180705002319 |
Provider Name | Edward Butler |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1962036392 PECOS PAC ID: 0244669745 Enrollment ID: I20200404000273 |
Provider Name | Jennifer Lee Churchill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669065462 PECOS PAC ID: 6507274511 Enrollment ID: I20210412002042 |
Provider Name | Brittany Paula Hanlon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164002275 PECOS PAC ID: 7012326622 Enrollment ID: I20210512001197 |
Provider Name | Roberta Champouillon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134850779 PECOS PAC ID: 9830573922 Enrollment ID: I20220909000385 |
Mailing Address | Practice Location Address |
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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 |