| Duke City Healthcare | |
|
4411 Montano Rd Nw Suite F Albuquerque NM 87120-3235 | |
| (505) 899-4414 | |
| (505) 898-2395 |
| Full Name | Duke City Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4411 Montano Rd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kristi Fury (CFNP/OWNER) |
| Authorized Official Contact | 5058994414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke City Healthcare 4411 Montano Rd Nw Suite F Albuquerque NM 87120-3235 Ph: (505) 899-4414 | Duke City Healthcare 4411 Montano Rd Nw Suite F Albuquerque NM 87120-3235 Ph: (505) 899-4414 |
| NPI Number | 1194140277 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 04/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194140277 | NPI | - | NPPES |
| 1467535658 | Other | NM | NPI |
| 43129846 | Medicaid | NM | |
| 202023190 | Other | NM | PRESBYTERIAN |
| 1568482701 | Other | NM | NPI |
| NM006H53 | Other | NM | BLUE CROSS |
| Q76696 | Other | NM | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | CNP01240 (New Mexico) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | MD2004-0125 (New Mexico) | Primary |
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