Organization · Type 2 NPI
Kidsbridge
Clinic/Center · Los Ranchos, NM
NPI number
1740556893
Active
Practice location
608 Bledsoe Rd NW
Los Ranchos, NM 87107-6219
Fax (505) 344-5553
Mailing address
1104 Salamanca St NW
Los Ranchos, NM 87107-5626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 2414 (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).
2 other providers at this address
About NPI 1740556893
Kidsbridge's National Provider Identifier is 1740556893, issued on Mar 22, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Los Ranchos, NM. The record was last updated on Mar 22, 2012.