Organization · Type 2 NPI

Premise Health of New Mexico Medical PC

Multi-Specialty Clinic/Center · Rio Rancho, NM

NPI number 1720998404 Active

Practice location

4100 Sara Rd SE # Ms
Rio Rancho, NM 87124-1025

Fax (505) 212-1649

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1720998404

Premise Health of New Mexico Medical PC's National Provider Identifier is 1720998404, issued on Sep 8, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Rio Rancho, NM. The record was last updated on Sep 8, 2026.