Organization · NPI-2

Ahs Lovelace Medical Group, LLC

Clinic/Center · Albuquerque, NM

NPI number1992757710
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1992757710
Entity type
Organization (NPI-2)
Legal business name
Ahs Lovelace Medical Group, LLC
Organization subpart
No
Enumeration date
May 17, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerapplied forNMYes

Practice location

5400 Gibson Blvd Se
Floor 2, Elevator B
Albuquerque, NM 87108-4729

Phone 505-262-7174 · Fax 505-262-3562

Mailing address

1 Burton Hills Blvd
Suite 250
Nashville, TN 37215-6104

Phone 615-296-3000 · Fax 615-296-6011

Authorized official

Stephen C Petrovich
Svp
6152963000

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