| Jennifer Mccash Inc. | |
|
301 Graceland Dr Se Suite D Albuquerque NM 87108-2778 | |
| (505) 203-8953 | |
| (505) 344-8677 |
| Full Name | Jennifer Mccash Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 301 Graceland Dr Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jennifer C. Mccash (PRESIDENT) |
| Authorized Official Contact | 5052038953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mccash Inc. 301 Graceland Dr Se Suite D Albuquerque NM 87108-2778 Ph: (505) 203-8953 | Jennifer Mccash Inc. 301 Graceland Dr Se Suite D Albuquerque NM 87108-2778 Ph: (505) 203-8953 |
| NPI Number | 1215244298 |
|---|---|
| Provider Enumeration Date | 09/11/2010 |
| Last Update Date | 09/11/2010 |
| Medicare PECOS PAC ID | 9537465026 |
|---|---|
| Medicare Enrollment ID | O20160309001537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215244298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I-05551 (New Mexico) | Primary |
| Provider Name | Jennifer C Mccash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366532491 PECOS PAC ID: 4880990803 Enrollment ID: I20160316002435 |
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