Organization · NPI-2

Ch Specialty Services Nm LLC

Internal Medicine · Espanola, NM

NPI number1346943685

StatusActive

Last updated in NPPESMar 21, 2025

Details

NPI: 1346943685
Entity type: Organization (NPI-2)
Legal business name: Ch Specialty Services Nm LLC
Organization subpart: No
Enumeration date: Mar 24, 2023
Certification date: Mar 21, 2025
Last updated: Mar 21, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Practice location

206 S Coronado Ave
Espanola, NM 87532-2792

Phone 337-408-0797

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5345

Phone 337-408-0797 · Fax 337-943-0846

Authorized official

Nicole Howard
Sr Vp Of Administrative Services
3374080797

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