| Northview Family Physicians, Pc | |
|
8202 Louisiana Blvd Ne Suite A Albuquerque NM 87113-2103 | |
| (505) 554-2409 | |
| (505) 554-2876 |
| Full Name | Northview Family Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8202 Louisiana Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Cheri A Blacksten (PRESIDENT) |
| Authorized Official Contact | 5055542409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northview Family Physicians, Pc Po Box 10777 Albuquerque NM 87184-0777 Ph: (505) 554-2409 | Northview Family Physicians, Pc 8202 Louisiana Blvd Ne Suite A Albuquerque NM 87113-2103 Ph: (505) 554-2409 |
| NPI Number | 1578005484 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 12/27/2016 |
| Medicare PECOS PAC ID | 3779864574 |
|---|---|
| Medicare Enrollment ID | O20170110003371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578005484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2013-0554 (New Mexico) | Primary |
| Provider Name | Cheri Blacksten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124254586 PECOS PAC ID: 4486952967 Enrollment ID: I20160418000113 |
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