Organization
DIABETES SELF-MANAGEMENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE QUINN RN, CDE (CEO)
(505) 338-4800
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, 28, ALBUQUERQUE, NM 87102-2611
(505) 338-4800
(505) 338-4800
Mailing address
717 ENCINO PL NE, 28, ALBUQUERQUE, NM 87102-2611
(505) 338-4800
(505) 338-4800
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
02373964009
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM00R34Y
BCBS
NM
01
—
201079858
PRESBYTERIAN HEALTH PLAN
NM
Enumeration date
02/07/2007
Last updated
04/22/2008
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