Organization
MEDICAL CASE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MAGRUDER RN (PRESIDENT)
(505) 797-8552
Entity
Organization
Contact information
Practice address
6751 ACADEMY RD NE, SUITE C, ALBUQUERQUE, NM 87109-3386
(505) 797-8552
(505) 797-8551
Mailing address
6751 ACADEMY RD NE, SUITE C, ALBUQUERQUE, NM 87109-3386
(505) 797-8552
(505) 797-8551
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
R28799
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R28799
NURSING LICENSE NUMBER
NM
Enumeration date
09/23/2009
Last updated
09/23/2009
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