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Organization

CENTERWELL CERTIFIED HEALTHCARE CORP.

Active
Other names
CenterWell Home Health
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W NICHOLS (AUTHORIZED OFFICIAL)
(505) 345-3754
Entity
Organization

Contact information

Practice address
4401 MASTHEAD ST NE STE 105, ALBUQUERQUE, NM 87109-4682
(505) 345-3754
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000N1425
NM
05
000A8575
NM
05
000F1512
NM
01
013100P
NM-COMMERCIAL NUMBER
01
112207
NM-COMMERCIAL NUMBER
01
146544
NM-COMMERCIAL NUMBER
01
28689
NM-COMMERCIAL NUMBER
01
300066102
NM-COMMERCIAL NUMBER
01
327070
NM-COMMERCIAL NUMBER
01
54826
NM-COMMERCIAL NUMBER
01
565800
NM-COMMERCIAL NUMBER
01
60-03419
NM-COMMERCIAL NUMBER
01
689703
NM-COMMERCIAL NUMBER
01
827390
NM-COMMERCIAL NUMBER
01
8413-90
NM-COMMERCIAL NUMBER
01
ANC015
NM-COMMERCIAL NUMBER
05
N1425
NM
Enumeration date
06/24/2006
Last updated
11/30/2023
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