Organization · Type 2 NPI

Robert F. Kennedy Charter High School

Clinic/Center · Albuquerque, NM

NPI number 1013190610 Active

Practice location

4300 Blake SW
Albuquerque, NM 87121

Fax (505) 242-7444

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Clinic/Center Primary	261Q00000X	None listed
Clinical Medical Laboratory	291U00000X	3201078041 (NM)
Clinic Pharmacy	3336C0002X	CL00D110644 (NM)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI record

NPI: 1013190610
Entity type: Organization (Type 2)
Issued: Dec 6, 2007
Last updated: Mar 4, 2010
Status: Active

Other names

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Robert F. Kennedy School Based Heath Center · doing business as

Authorized official

Ms. Bonnie K. Kaueman, RN
Robert. F. Kennedy SBHC Coordinator
(505) 239-7589

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013190610

Robert F. Kennedy Charter High School's National Provider Identifier is 1013190610, issued on Dec 6, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 4, 2010.