Organization
BACA COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEITHA C BURTON (REVENUE CYCLE MANAGER)
(719) 491-8173
Entity
Organization
Contact information
Practice address
2921 CARLISLE BLVD NE STE 125, ALBUQUERQUE, NM 87110-2865
(505) 573-2666
Mailing address
2921 CARLISLE BLVD NE STE 119, ALBUQUERQUE, NM 87110-2864
(505) 539-5290
(505) 212-6368
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
10/10/2024
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