Susan'S Legacy

LBN: Susan'S Legacy
Susan'S Legacy is an health care organization with primary practice located at 8100 Mountain Rd Ne Suite 200, Albuquerque NM 87110. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Susan'S Legacy can be contacted via phone (505) 843-8450, or through Weil, Kathryn via phone (505) 843-8450.

Contact Information

Primary practice address
8100 Mountain Rd Ne Suite 200 Albuquerque NM 87110
Phone: (505) 843-8450
Fax: (505) 843-8449
Website:
Map and Directions
Authorized official contact:
Name: Weil, Kathryn PH.D.
Phone: (505) 843-8450

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 0071091 New Mexico

Profile Details

NPI number 1366631780
LBN Legal business name Susan'S Legacy
DBA Doing business as
Authorized official Weil, Kathryn PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated May 6th, 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 1366631780 NPPES
New Mexico MEDICAID 36873594
New Mexico Other NM600724

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