Healthcare Provider Details

I. General information

NPI: 1730543893
Provider Name (Legal Business Name): SEVEN BAR CRITICAL CARE NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 CLARK CARR LOOP SE
ALBUQUERQUE NM
87106-5611
US

IV. Provider business mailing address

8111 LEMMON AVE HNGR 4
DALLAS TX
75209-2653
US

V. Phone/Fax

Practice location:
  • Phone: 214-468-8229
  • Fax:
Mailing address:
  • Phone: 214-468-8229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ERIC THOMAS
Title or Position: SVP OF REVENUE MANAGEMENT
Credential:
Phone: 877-288-5340