Organization
SOMATUS NEW MEXICO KIDNEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA J PALMER (AUTHORIZED OFFICIAL)
(202) 236-7061
Entity
Organization
Contact information
Practice address
500 MARQUETTE AVE NW, ALBUQUERQUE, NM 87102-5340
(571) 992-0600
Mailing address
1861 INTERNATIONAL DR STE 600, MC LEAN, VA 22102-4420
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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