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Organization
AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.
Active
Organization
AMERIGROUP COMMUNITY CARE OF NEW MEXICO, INC.
Active
Other names
AMERIGROUP New Mexico, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARC RUSSO (PRESIDENT)
(212) 518-5250
Entity
Organization
Contact information
Practice address
2 PARK SQ, 6565 AMERICAS PARKWAY, NE, SUITE 200, ALBUQUERQUE, NM 87110-5374
(505) 563-5554
Mailing address
2 PARK SQ, 6565 AMERICAS PARKWAY, NE, SUITE 200, ALBUQUERQUE, NM 87110-5374
(505) 563-5554
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5019
NM
Other
Enumeration date
10/31/2007
Last updated
01/07/2014
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