Monte Vista Medical Llc

LBN: Monte Vista Medical Llc
Monte Vista Medical Llc is an health care organization with primary practice located at 1518 Girard Blvd Ne , Albuquerque NM 87106-1823. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Monte Vista Medical Llc can be contacted via phone (505) 268-1480, or through Garcia, Melissa M via phone (505) 249-7913.

Contact Information

Primary practice address
1518 Girard Blvd Ne Albuquerque NM 87106-1823
Phone: (505) 268-1480
Fax: (505) 268-1799
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Melissa M Doctor of Medicine (MD)
Phone: (505) 249-7913

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 98-268 New Mexico

Profile Details

NPI number 1295090264
LBN Legal business name Monte Vista Medical Llc
DBA Doing business as
Authorized official Garcia, Melissa M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2012
Last updated Mar 19th, 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 1295090264 NPPES
New Mexico MEDICAID Z6116

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