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Organization

LOVELACE HEALTH PLAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAYLE Q. ADAMS (PRESIDENT)
(505) 262-3831
Entity
Organization

Contact information

Practice address
4101 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87110-3988
(505) 263-7363
(505) 262-3010
Mailing address
4101 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87110-3988
(505) 263-7363
(505) 262-3010

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1673
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77801280
NM
Enumeration date
11/30/2006
Last updated
08/22/2020
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