Organization
PURE HEALTHCARE OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL FRAGA (CREDENTIALING CONTRACTING MANAGER)
(801) 590-9267
Entity
Organization
Contact information
Practice address
1648B ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 966-9644
(801) 327-0211
Mailing address
4179 S RIVERBOAT RD STE 220, TAYLORSVILLE, UT 84123-2986
(801) 755-3387
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2019
Last updated
04/29/2025
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