Organization · NPI-2

Access Medical Care LLC

Family Medicine · Corrales, NM

NPI number1952941114
StatusActive
Last updated in NPPESMay 24, 2022

Details

NPI
1952941114
Entity type
Organization (NPI-2)
Legal business name
Access Medical Care LLC
Organization subpart
No
Enumeration date
Jan 15, 2020
Certification date
May 24, 2022
Last updated
May 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
261Q00000X Clinic/Center––

Practice location

2469 Corrales Rd. Bldg A Suite C
Corrales, NM 87048-8680

Phone 505-450-8709 · Fax 505-508-1514

Mailing address

Po Box 2046
Corrales, NM 87048-2046

Phone 505-450-8709 · Fax 505-508-1514

Authorized official

Catherine Rosacker-Sharp
Administrator
5054508709

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