Healthcare Provider Details

I. General information

NPI: 1891494829
Provider Name (Legal Business Name): OWENS ADMINISTRATIVE & HEALTHCARE SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2023
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 BELLAMAH AVE NW
ALBUQUERQUE NM
87104-2133
US

IV. Provider business mailing address

2503 METZGAR RD SW
ALBUQUERQUE NM
87105-6335
US

V. Phone/Fax

Practice location:
  • Phone: 505-242-4733
  • Fax:
Mailing address:
  • Phone: 505-243-1118
  • Fax: 505-903-5832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SABRINA OWENS
Title or Position: OWNER
Credential:
Phone: 505-243-1118