THE HUMAN BODY SHOP


Address: 617 Solano Dr Se, Albuquerque, NM 87108-3380
Phone: 5053696920

THE HUMAN BODY SHOP (NPI# 1568842953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568842953
Entity Type Organization
Organization Name THE HUMAN BODY SHOP
Practice Address 617 Solano Dr Se
Albuquerque
NM 87108-3380
Practice Telephone 5053696920
Practice Fax Number 5054336422
Mailing Telephone 5053696920
Mailing Fax Number 5054336422
Enumeration Date 2015-06-01
Last Update Date 2015-06-01
Authorized Official Name ANDRU ZELLER (PRESIDENT OF THE BOARD)
Authorized Official Telephone 5053696920
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 617 SOLANO DR SE
City ALBUQUERQUE
State NM
Zip Code 87108-3380

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NPI Name Taxonomy Address Enumeration
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1518517325 Lillian Abeyta Technician 1501 San Pedro Dr Se., Albuquerque, NM 87108 2019-09-13
1962970061 Donald Borrego Occupational Therapy Assistant 5200 Copper Ne, #7, Albuquerque, NM 87108 2018-11-06
1154808012 Catalina Castro Social Worker 209 San Pablo Se, Albuquerque, NM 87108 2018-07-24
1942721048 Walgreen Co Pharmacy 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 2017-06-29
1467981860 Jennifer Martinez Behavior Technician 628 Espanola Se, Albuquerque, NM 87108 2017-06-08
1457892465 J Dowd Counseling LLC Counselor 514 Monroe Street Se, Albuquerque, NM 87108 2017-03-10
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1285260588 Uptown Dermatology LLC Clinic/Center 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 2020-03-18
1083188585 Hearing and Vision Store Clinic/Center 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 2019-01-17
1144733924 Heights Family Wellness Center LLC Clinic/Center 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 2017-11-14
1316303647 Southwest Care Center Clinic/Center 4710 Jefferson St Ne Ste A, Albuquerque, NM 87109-2156 2015-12-31
1356736573 Visionquest Irb Clinic/Center 2501 Yale Blvd Se, Suite 301, Albuquerque, NM 87106-4200 2015-04-03
1235531468 Health Quest Wellness Central LLC Clinic/Center 723 Silver Ave Sw Ste L1, Albuquerque, NM 87102-3018 2014-09-18
1033547302 Health Quest Wellness Cottonwood LLC Clinic/Center 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, NM 87114-1578 2013-10-24
1598058232 Over The Edge Group Home for Disable Clinic/Center 7010 Phoenix Ave Ne Apt 310, Albuquerque, NM 87110-3505 2011-05-26
1295027894 Christine Dombroski, Pt LLC Clinic/Center 313 Montclaire Dr Se Apt 5, Albuquerque, NM 87108-2676 2011-05-15
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Competitor

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City ALBUQUERQUE
Zip Code 87108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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