| Albuquerque Health Services | |
|
172 Montano Rd Nw Albuquerque NM 87107-5030 | |
| (505) 344-4427 | |
| Not Available |
| Full Name | Albuquerque Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 172 Montano Rd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Sivan Wilson (CEO) |
| Authorized Official Contact | 5052609917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albuquerque Health Services 172 Montano Rd. Nw Albuquerque NM 87107 Ph: (505) 344-4427 | Albuquerque Health Services 172 Montano Rd Nw Albuquerque NM 87107-5030 Ph: (505) 344-4427 |
| NPI Number | 1245554419 |
|---|---|
| Provider Enumeration Date | 03/17/2010 |
| Last Update Date | 07/06/2021 |
| Certification Date | 07/06/2021 |
| Medicare PECOS PAC ID | 6800222423 |
|---|---|
| Medicare Enrollment ID | O20201207000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245554419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
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