Los Alamos Pediatric Clinic
LBN: Los Alamos Pediatric Clinic
Los Alamos Pediatric Clinic is an health care organization with primary practice located at 3917 West Road Suite 136, Los Alamos NM 87544. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Los Alamos Pediatric Clinic can be contacted via phone (505) 662-9620, or through Krohn, Jacqueline Anne via phone (509) 662-9620.
Contact Information
Primary practice address
3917 West Road Suite 136
Los Alamos NM 87544
Phone: (505) 662-9620
Fax: (505) 662-0024
Website:
Authorized official contact:
Name: Krohn, Jacqueline Anne Doctor of Medicine (MD)
Phone: (509) 662-9620
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 79195 | New Mexico |
Profile Details
| NPI number | 1245248830 |
|---|---|
| LBN Legal business name | Los Alamos Pediatric Clinic |
| DBA Doing business as | |
| Authorized official | Krohn, Jacqueline Anne Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245248830 | NPPES |
| New Mexico | Other | 10003513 | LOVELACE HEALTH |
| New Mexico | MEDICAID | 11783 | LOVELACE HEALTH |
| New Mexico | Other | 6693 | LOVELACE HEALTH |
| New Mexico | Other | PROVP13573 | LOVELACE HEALTH |
| New Mexico | Other | NM011552 | LOVELACE HEALTH |
Popular Providers
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Dr. Tom Child And Adolescent Medicine
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