Advanced Gastroenterology Associates

LBN: Advanced Gastroenterology Associates
Advanced Gastroenterology Associates is an health care organization with primary practice located at 4801 N Butler Ave Suite 13102, Farmington NM 87401-6002. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Advanced Gastroenterology Associates can be contacted via phone (505) 436-2906, or through Roberts, Autumn L via phone (505) 436-2906.

Contact Information

Primary practice address
4801 N Butler Ave Suite 13102 Farmington NM 87401-6002
Phone: (505) 436-2906
Fax: (505) 436-2197
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Autumn L
Phone: (505) 436-2906

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1184985475
LBN Legal business name Advanced Gastroenterology Associates
DBA Doing business as
Authorized official Roberts, Autumn L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2012
Last updated Apr 21st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184985475 NPPES
New Mexico Other DT4411 RR MCR
New Mexico Other 792536 RR MCR
New Mexico MEDICAID 30177880 RR MCR

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