Journey Pediatrics

LBN: Journey Pediatrics
Journey Pediatrics is an health care organization with primary practice located at 8308 Constitution Pl Ne , Albuquerque NM 87110. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Journey Pediatrics can be contacted via phone (505) 883-9570, or through Koil, Alwyn via phone (505) 463-6618.

Contact Information

Primary practice address
8308 Constitution Pl Ne Albuquerque NM 87110
Phone: (505) 883-9570
Fax: (505) 883-4163
Website:
Map and Directions
Authorized official contact:
Name: Koil, Alwyn Doctor of Medicine (MD)
Phone: (505) 463-6618

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 2003-0567 New Mexico

Profile Details

NPI number 1205205630
LBN Legal business name Journey Pediatrics
DBA Doing business as
Authorized official Koil, Alwyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2015
Last updated May 15th, 2018 - about 8 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 1205205630 NPPES
New Mexico MEDICAID 85684392

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