MEDICARE: CHOICE HEALTH, 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
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1245824663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE HEALTH, LLC

Provider Business Mailing Address
First Line	:	10309 AVENIDA VISTA CERROS NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5907
Country	:	US
Telephone Number	:	806-731-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	10309 AVENIDA VISTA CERROS NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87114-5907
Country	:	US
Telephone Number	:	806-731-4000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DONALD SCOTT CALDWELL
Credential	:
Telephone Number	:	806-731-4000

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	01/03/2025

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