Organization
UNM-PC
Active
Parent organization
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Other names
University of NM hospitals Psychiatric Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Authorized official
MRS. ANNETTE J. LICHT RN (REGISTERED NURSE)
(505) 272-0271
Entity
Organization
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-0271
(505) 272-4563
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-0271
(505) 272-4623
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0850X
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067
—
NM
01
—
32-S001
MEDICARE
NM
Enumeration date
10/26/2015
Last updated
10/26/2015
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