Specialty Care Clinic Llc | |
3825 Eubank Blvd Ne Ste H Albuquerque NM 87111-3559 | |
(505) 350-3397 | |
(505) 323-7980 |
Full Name | Specialty Care Clinic Llc |
---|---|
Speciality | Family Medicine |
Location | 3825 Eubank Blvd Ne Ste H, Albuquerque, New Mexico |
Authorized Official Name and Position | John K Jain (OWNER CEO) |
Authorized Official Contact | 5053503397 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Specialty Care Clinic Llc 3825 Eubank Blvd Ne Ste H Albuquerque NM 87111-3559 Ph: (505) 350-3397 | Specialty Care Clinic Llc 3825 Eubank Blvd Ne Ste H Albuquerque NM 87111-3559 Ph: (505) 350-3397 |
NPI Number | 1699517771 |
---|---|
Provider Enumeration Date | 06/10/2024 |
Last Update Date | 10/07/2024 |
Medicare PECOS PAC ID | 5496293912 |
---|---|
Medicare Enrollment ID | O20240815001586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699517771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Provider Name | Chandran Vedamanikam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154585990 PECOS PAC ID: 4587838784 Enrollment ID: I20111128000789 |
Provider Name | Sarah Pack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841853876 PECOS PAC ID: 9537550421 Enrollment ID: I20240815002544 |
Double Happiness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4104 Ponderosa Ave Ne, Albuquerque, NM 87110 Phone: 505-385-4127 Fax: 505-265-5041 | |
Albuquerque Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 Phone: 505-314-0748 | |
Gabriella Good Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3015 Indian Farm Ln Nw, Albuquerque, NM 87107 Phone: 505-259-8694 Fax: 186-660-7177 | |
Hands On Health Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111 Phone: 505-298-8020 | |
Lovelace Healthcare Center-rio Bravo Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rio Bravo Blvd Se, Albuquerque, NM 87105 Phone: 505-873-6400 Fax: 505-873-6403 | |
Health Quest Wellness Cottonwood Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, NM 87114 Phone: 505-890-9355 |