Cowan Clinic, Inc

LBN: Footprints Home Care, Inc
Cowan Clinic, Inc is an health care organization with primary practice located at 5941-A Jefferson St Ne , Albuquerque NM 87109. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care. Agencies / Home Health is the primary health care specialty. Footprints Home Care, Inc can be contacted via phone (505) 883-4100, or through Fletcher, Brian via phone (505) 503-2742.

Contact Information

Primary practice address
5941-A Jefferson St Ne Albuquerque NM 87109
Phone: (505) 883-4100
Fax: (505) 889-9400
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Brian
Phone: (505) 503-2742

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 6214 New Mexico
Agencies / Nursing Care 251J00000X 6214 New Mexico

Profile Details

NPI number 1528108271
LBN Legal business name Footprints Home Care, Inc
DBA Doing business as Cowan Clinic, Inc
Authorized official Fletcher, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 23rd, 2014 - about 12 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 1528108271 NPPES
New Mexico MEDICAID 96917
New Mexico MEDICAID D0289

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