Health Quest Wellness Central Llc | |
723 Silver Ave Sw Ste L1 Albuquerque NM 87102-3018 | |
(505) 200-9937 | |
Not Available |
Full Name | Health Quest Wellness Central Llc |
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Speciality | Clinic/center |
Location | 723 Silver Ave Sw Ste L1, Albuquerque, New Mexico |
Authorized Official Name and Position | Allen R Miner (DIRECTOR) |
Authorized Official Contact | 5054334646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Health Quest Wellness Central Llc Po Box 90338 Albuquerque NM 87199-0338 Ph: (505) 200-9937 | Health Quest Wellness Central Llc 723 Silver Ave Sw Ste L1 Albuquerque NM 87102-3018 Ph: (505) 200-9937 |
NPI Number | 1235531468 |
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Provider Enumeration Date | 09/18/2014 |
Last Update Date | 09/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235531468 | NPI | - | NPPES |
1407052467 | Other | NM | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1574 (New Mexico) | Primary |
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