Active Medical Group Llc

LBN: Active Medical Group Llc
Active Medical Group Llc is an health care organization with primary practice located at 4760 N Butler Ave Ste D , Farmington NM 87401-0816. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Active Medical Group Llc can be contacted via phone (505) 370-1201, or through Smith, Ashley Jordan via phone (505) 336-7344.

Contact Information

Primary practice address
4760 N Butler Ave Ste D Farmington NM 87401-0816
Phone: (505) 370-1201
Fax: (505) 461-1779
Website:
Map and Directions
Authorized official contact:
Name: Smith, Ashley Jordan Nurse Practitioner (NP)
Phone: (505) 336-7344

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1992408520
LBN Legal business name Active Medical Group Llc
DBA Doing business as
Authorized official Smith, Ashley Jordan Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2023
Last updated Mar 24th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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