Organization
BERNALILLO SPARTAN WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR)
(505) 454-3523
Entity
Organization
Contact information
Practice address
148 SPARTAN ALY, BERNALILLO, NM 87004-6298
(505) 426-2262
(505) 454-1473
Mailing address
P.O. BOX 927, LAS VEGAS, NM 87701
(505) 426-2262
(505) 454-1473
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H8226
—
NM
Enumeration date
05/14/2007
Last updated
02/11/2016
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