| Medested | |
|
2900 Louisiana Blvd Ne Suite B1 Albuquerque NM 87110-3532 | |
| (505) 881-6337 | |
| Not Available |
| Full Name | Medested |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2900 Louisiana Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Michael Sanchez (PRINCIPAL) |
| Authorized Official Contact | 5052615219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medested 2900 Louisiana Blvd Ne Suite B1 Albuquerque NM 87110-3532 Ph: () - | Medested 2900 Louisiana Blvd Ne Suite B1 Albuquerque NM 87110-3532 Ph: (505) 881-6337 |
| NPI Number | 1710231212 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710231212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4665520 (New Mexico) | Primary |
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