OLD TOWN PRIMARY CARE, INC.


Address: 501 14th St Nw, Albuquerque, NM 87104-1729
Phone: 5054312777

OLD TOWN PRIMARY CARE, INC. (NPI# 1417591413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417591413
Entity Type Organization
Organization Name OLD TOWN PRIMARY CARE, INC.
Practice Address 501 14th St Nw
Albuquerque
NM 87104-1729
Practice Telephone 5054312777
Mailing Telephone 5054312777
Enumeration Date 2019-11-01
Last Update Date 2019-11-01
Authorized Official Name ANGELA BAUMEISTER (OWNER)
Authorized Official Telephone 5054312777
Authorized Official Credential PA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 501 14TH ST NW
City ALBUQUERQUE
State NM
Zip Code 87104-1729

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1124177696 Torre D. Near D/b/a Statmed LLC Clinic/Center 3916 Carlisle Blvd Ne, Suite G, Albuquerque, NM 87107-4556 2007-01-10
1356405369 St. Christopher Inc Clinic/Center 2800 San Mateo Blvd Ne, Suite 107, Albuquerque, NM 87110-3135 2006-12-21
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Competitor

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City ALBUQUERQUE
Zip Code 87104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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