Healthcare Provider Details

I. General information

NPI: 1962749200
Provider Name (Legal Business Name): COMPREHENSIVE HOSPITALIST SERVICES OF NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 MONTGOMERY BLVD NE
ALBUQUERQUE NM
87109-1219
US

IV. Provider business mailing address

861 SW 78TH AVE 200B
PLANTATION FL
33324-3273
US

V. Phone/Fax

Practice location:
  • Phone: 877-693-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID S SCHILLINGER
Title or Position: CHIEF MEDICAL OFFICER
Credential:
Phone: 877-693-5700