Organization
UNM HOSPITAL
Active
Other names
Carrie Tingley Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE MARIE WHITE (CHIEF FINANCIAL OFFICER)
(505) 272-1840
Entity
Organization
Contact information
Practice address
1127 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1740
(505) 272-5200
(505) 272-3215
Mailing address
400 TIJERAS AVE NW STE 450, ALBUQUERQUE, NM 87102-3273
(505) 272-2521
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
6074
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
CHAMPUS
NM
01
—
02156901
AHCCCS
NM
01
—
201080119
PRESBYTERIAN SALUD
NM
01
—
450
LOVELACE SALUD
NM
01
—
60054
AETNA
NM
01
—
62308
CIGNA
NM
01
—
NM000062
BCBS
NM
Enumeration date
12/21/2006
Last updated
01/08/2020
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