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Organization

AMERICARE HEALTH SERVICES CORPORATION

Active
Other names
Americare
Organization subpart
No

Provider details

NPI number
Authorized official
PETER NYLAND (PRESIDENT-DIRECTOR)
(505) 821-3355
Entity
Organization

Contact information

Practice address
101 SUN AVE NE, ALBUQUERQUE, NM 87109-4373
(505) 468-4678
(505) 468-8013
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1477
332BN1400X
Nursing Facility Supplies (DME)
1477
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1477
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000515699A
GA
05
009105980
AL
05
011269001
TX
05
1188573
LA
05
200251170A
IN
05
2229565
OH
05
30761325
NH
05
4581494
TN
05
48755508
CO
05
561101
AZ
05
625357009
MO
05
7702040
NC
05
804002800
MD
05
806032400
ID
05
90003112
KY
05
9107282
VA
05
G4622
NM
Enumeration date
06/11/2006
Last updated
12/08/2011
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