| Expanding Choices Inc | |
|
6100 Uptown Blvd Ne Ste 650 Albuquerque NM 87110-4186 | |
| (505) 340-0700 | |
| (505) 340-0701 |
| Full Name | Expanding Choices Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 6100 Uptown Blvd Ne Ste 650, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mark Henry Raterink (PRESIDENT) |
| Authorized Official Contact | 5053400700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Expanding Choices Inc 6100 Uptown Blvd Ne Ste 650 Albuquerque NM 87110-4186 Ph: (505) 340-0700 | Expanding Choices Inc 6100 Uptown Blvd Ne Ste 650 Albuquerque NM 87110-4186 Ph: (505) 340-0700 |
| NPI Number | 1891851010 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 01/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891851010 | NPI | - | NPPES |
| 72579081 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2002-0271 (New Mexico) | Primary |
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