| Abq Behavioral Services | |
|
2900 Louisiana Blvd Ne Ste C1 Albuquerque NM 87110-3576 | |
| (505) 884-7873 | |
| (844) 272-9056 |
| Full Name | Abq Behavioral Services |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Jane Hardwrick (PSYCHIATRIC MENTAL HEALTH NURSE PRA) |
| Authorized Official Contact | 8179666681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abq Behavioral Services 122 Sweet Gum St Red Oak TX 75154-0139 Ph: (817) 966-6681 | Abq Behavioral Services 2900 Louisiana Blvd Ne Ste C1 Albuquerque NM 87110-3576 Ph: (505) 884-7873 |
| NPI Number | 1255963898 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/23/2021 |
| Certification Date | 02/23/2021 |
| Medicare PECOS PAC ID | 0143631598 |
|---|---|
| Medicare Enrollment ID | O20201116003184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255963898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Jane O Hardwrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205362720 PECOS PAC ID: 3678883915 Enrollment ID: I20201116003216 |
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