TURQUOISE TRAIL PRIMARY CARE LLC


Address: 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111-3559
Phone: (505) 702-1117

TURQUOISE TRAIL PRIMARY CARE LLC (NPI# 1902324692) 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) 1902324692
Entity Type Organization
Organization Name TURQUOISE TRAIL PRIMARY CARE LLC
Practice Address 3825 Eubank Blvd Ne Ste C
Albuquerque
NM 87111-3559
Practice Telephone (505) 702-1117
Practice Fax Number 5054333299
Mailing Telephone 5057021117
Mailing Fax Number 5054333299
Enumeration Date 2017-09-01
Last Update Date 2017-09-01
Authorized Official Name MRS. ELIZABETH RENEE DUNAGAN (COO)
Authorized Official Telephone 5057021117
Authorized Official Credential MA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 3825 EUBANK BLVD NE STE C
City ALBUQUERQUE
State NM
Zip Code 87111-3559

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023290616 Hands On Health Care, P.C. Family Medicine 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111-3559 2007-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417438110 Dehlen LLC Counselor 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 2018-08-22
1003313008 Jessika Junick Nurse Practitioner 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 2018-04-07
1881113454 Hayley Aragon-bell Day Training/Habilitation Specialist 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 2017-09-14
1750803326 Sarah Mckenzie Ochoa Day Training/Habilitation Specialist 3916 Garcia St Ne, Albuquerque, NM 87111 2017-07-14
1285179549 Family Dental Health Care Dentist 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 2016-12-22
1871036202 Shobha Jagannath Nurse Practitioner 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 2016-12-03
1508319310 Mariana Boitano Licensed Practical Nurse 5400 Gibson Blvd., Albuquerque, NM 87111 2016-07-28
1184011082 Adam Halpern Specialist/Technologist 4204 Parsifal St, Albuquerque, NM 87111 2015-04-20
1083015770 Cvs Pharmacy Public Health or Welfare 5516 Camino Arbustos Ne, Albuquerque, NM 87111 2014-09-12
1508276973 Stephanie Gonzales Physician Assistant 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 2014-05-06
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417591413 Old Town Primary Care, Inc. Clinic/Center 501 14th St Nw, Albuquerque, NM 87104-1729 2019-11-01
1700269412 Adler Medical LLC Clinic/Center 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 2015-06-30
1306158860 Luma Kai, LLC Clinic/Center 3701 San Mateo Blvd Ne, Albuquerque, NM 87110-1230 2010-07-12
1225357981 Lovelace Health System, Inc. Clinic/Center 11000 Broadway Blvd Se, Suite 1, Albuquerque, NM 87105-7469 2010-05-20
1124177696 Torre D. Near D/b/a Statmed LLC Clinic/Center 3916 Carlisle Blvd Ne, Suite G, Albuquerque, NM 87107-4556 2007-01-10
1356405369 St. Christopher Inc Clinic/Center 2800 San Mateo Blvd Ne, Suite 107, Albuquerque, NM 87110-3135 2006-12-21
1316545882 Kingsley Clinic of New Mexico, LLC Clinic/Center 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-1908 2020-10-15
1831636687 Nancy Elliott Clinic/Center 8300 Constitution Ne, Room 1303, Albuquerque, NM 87110 2017-01-31
1255784658 Hippocare, Inc Clinic/Center 3911 4th St Nw Ste B, Albuquerque, NM 87107-2510 2016-07-20
1124470703 Life Family Healthcare, LLC Clinic/Center 717 Encino Pl Ne, Suite 4, Albuquerque, NM 87102-2611 2016-07-07
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Competitor

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City ALBUQUERQUE
Zip Code 87111

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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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