Adler Medical Center | |
4241 Montgomery Blvd Ne Albuquerque NM 87109-1081 | |
(505) 883-8099 | |
(505) 833-8649 |
Full Name | Adler Medical Center |
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Speciality | Clinic/Center |
Location | 4241 Montgomery Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | Ethan Adler (OWNER/PROVIDER) |
Authorized Official Contact | 5055064445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adler Medical Center 4241 Montgomery Blvd Ne Albuquerque NM 87109-1081 Ph: (505) 883-8099 | Adler Medical Center 4241 Montgomery Blvd Ne Albuquerque NM 87109-1081 Ph: (505) 883-8099 |
NPI Number | 1700269412 |
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Provider Enumeration Date | 06/30/2015 |
Last Update Date | 07/07/2020 |
Medicare PECOS PAC ID | 7012223126 |
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Medicare Enrollment ID | O20150904000315 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700269412 | NPI | - | NPPES |
16984064 | Medicaid | NM | |
16984064 | Other | NM | MEDICARE NBR 311347YL1G |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | CNP-02214 (New Mexico) | Primary |
Provider Name | Ethan M Adler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134560618 PECOS PAC ID: 3577707975 Enrollment ID: I20130925000813 |
Provider Name | Michelle I Adler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730510652 PECOS PAC ID: 6406087378 Enrollment ID: I20140319000656 |
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