| Albuquerque Complete Senior Care Llc | |
|
3812 Academy Parkway North Ne Albuquerque NM 87109-4409 | |
| (505) 938-7431 | |
| (855) 427-2693 |
| Full Name | Albuquerque Complete Senior Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3812 Academy Parkway North Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Robert W Metz (CFO) |
| Authorized Official Contact | 5052172490 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albuquerque Complete Senior Care Llc 3812 Academy Parkway North Ne Albuquerque NM 87109-4409 Ph: (505) 938-7431 | Albuquerque Complete Senior Care Llc 3812 Academy Parkway North Ne Albuquerque NM 87109-4409 Ph: (505) 938-7431 |
| NPI Number | 1174861942 |
|---|---|
| Provider Enumeration Date | 01/29/2013 |
| Last Update Date | 11/14/2014 |
| Medicare PECOS PAC ID | 7517105638 |
|---|---|
| Medicare Enrollment ID | O20130531000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174861942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 86-083 (New Mexico) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 89-87 (New Mexico) | Secondary |
| Provider Name | Joy A Lovette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457312407 PECOS PAC ID: 5092608380 Enrollment ID: I20040202000992 |
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