UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. – NPI #1043472111
Clinic/Center

UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. is an AHC clinic located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1043472111 to UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. on June 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. below.

NPI Profile for
UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.

NPI Number
1043472111
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.
Primary location
700 LOUISIANA SE
ALBUQUERQUE, NM 87108
Phone: (505) 256-2555 Fax: (505) 256-2555
Mailing address
UNM SCHOOL BASED HEALTH CTRS
MSC09 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone: (502) 720-4575 Fax: (505) 272-2043
Organization Subpart
No
Authorized Official
ANTHONY MASCIOTRA
CEO
Phone: (505) 272-8950
Updated
Identifiers

Identifiers for UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM3A04
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)
NM 88-PA05

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.