# AMIR H. MANOUTCHEHRI M.D. PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PineRidge-Urgent Care & Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548404825
- **Authorized official:** AMIR H MANOUTCHEHRI MD PC (PHYSICIAN/OWNER)
- **Authorized official phone:** (505) 407-2174

## Contact information

- **Practice address:** 12125 STATE HIGHWAY 14 N., CEDAR CREST, NM 87008
- **Practice address phone:** (505) 407-2174
- **Practice address fax:** (505) 407-2174
- **Mailing address:** 12125 STATE HIGHWAY 14 N., CEDAR CREST, NM 87008
- **Mailing address phone:** (505) 407-2174
- **Mailing address fax:** (505) 890-7944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 87108 | NM | — |
| 261QP2300X | Primary Care Clinic/Center | 87108 | NM | — |
| 261QU0200X | Urgent Care Clinic/Center | 87-108 | NM | — |
| 261QU0200X | Urgent Care Clinic/Center | 87108 | NM | Yes |

## Other

- **Enumeration date:** 04/30/2009
- **Last updated:** 07/21/2014