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NPI Code Detail

MEDICARE: ALBUQUERQUE HEIGHTS HEALTHCARE AND REHABILITATION CENTER, LLC

MEDICARE: ALBUQUERQUE HEIGHTS HEALTHCARE AND REHABILITATION CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility1069NM

General Provider Information

NPI Number : 1629260781
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALBUQUERQUE HEIGHTS HEALTHCARE AND REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : 103 HOSPITAL LOOP NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-2115
Country : US
Telephone Number : 505-348-8300
Fax Number : 505-348-8270
Provider Business Practice Location Address
First Line : 103 HOSPITAL LOOP NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87109-2115
Country : US
Telephone Number : 505-348-8300
Fax Number : 505-348-8270
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : MICHAEL T. BERG
Credential :
Telephone Number : 505-468-4752
Provider Enumeration Date : 08/13/2007
Last Update Date : 01/26/2016

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