THE SPORTS MEDICINE CLINIC
NPI 1962876581
Clinic/Center - Multi-Specialty in Corrales, NM
- Organization
- Clinic/Center
- Multi-Specialty
About THE SPORTS MEDICINE CLINIC
This page provides the complete NPI Profile along with additional information for The Sports Medicine Clinic, a provider established in Corrales, New Mexico operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1962876581 assigned on November 2015. The practitioner's primary taxonomy code is 261QM1300X with license number FA0102165 (NM). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Joshua Peiper (Operations Director)
- NPI
- 1962876581 Verify this NPI
- Provider Name
- THE SPORTS MEDICINE CLINIC
- Entity Type
- Organization
- Location Address
- 2469 CORRALES RD SUITE A2 CORRALES, NM 87048
- Location Phone
- (505) 377-5733
- Mailing Address
- 2469 CORRALES RD SUITE A2 CORRALES, NM 87048
- Mailing Phone
- (505) 377-5733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2015
- Last Update Date
- 11-19-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- FA0102165
- License State
- NM
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962876581, enumerated as an "organization" on November 19, 2015.
The provider is located at 2469 CORRALES RD SUITE A2 CORRALES, NM 87048 and the phone number is (505) 377-5733.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.