| Loughead Group, Ltd. | |
|
5712 Osuna Rd Ne Ste 6 Albuquerque NM 87109-2576 | |
| (505) 250-6211 | |
| (505) 857-0329 |
| Full Name | Loughead Group, Ltd. |
|---|---|
| Speciality | Social Worker |
| Location | 5712 Osuna Rd Ne Ste 6, Albuquerque, New Mexico |
| Authorized Official Name and Position | Anna Marie P. Loughead (PRESIDENT) |
| Authorized Official Contact | 5052506211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loughead Group, Ltd. 5800 Canyon Vista Dr Ne Albuquerque NM 87111-6616 Ph: (505) 250-6211 | Loughead Group, Ltd. 5712 Osuna Rd Ne Ste 6 Albuquerque NM 87109-2576 Ph: (505) 250-6211 |
| NPI Number | 1982709663 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 11/12/2010 |
| Medicare PECOS PAC ID | 3870494131 |
|---|---|
| Medicare Enrollment ID | O20040119000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982709663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I-05280 (New Mexico) | Primary |
| Provider Name | Anna Marie P Loughead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821193590 PECOS PAC ID: 5193626463 Enrollment ID: I20040119000734 |
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