Organization
UNM HOSPITAL
Active
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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