Cottontree Center in Los Alamos - Multi-specialty
Cottontree Center - NPI 1104803675
Cottontree Center is a Multi-specialty in Los Alamos, New Mexico. Cottontree Center practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Cottontree Center is 1104803675. The last update date is 2009-03-25.
Cottontree Center's current location address is 190 Central Park Sq, Los Alamos, New Mexico. You can contact this provider via phone number 5056621419 and fax number 5056721739. The mailing address for Cottontree Center is 190 Central Park Sq, Los Alamos, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cottontree Center |
|---|---|
| Address | 190 Central Park Sq, Los Alamos, New Mexico |
| Phone Number | 5056621419 |
| Fax Number | 5056721739 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Giaquinto Marie Donna |
| Credentials | LPCC |
| Telephone Number | 5056621419 |
NPI Number Detail
| NPI Number | 1104803675 |
|---|---|
| Provider Enumeration Date | 2005-12-27 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 190 Central Park Sq |
|---|---|
| City | Los Alamos |
| State | New Mexico (NM) |
| Post Code | 875444001 |
| Phone Number | 5056621419 |
| Fax Number | 5056721739 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 200110082 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000B9545 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Cottontree Center by the Centers for Medicare & Medicaid Services?
The Cottontree Center has been issued the NPI (National Provider Identifier) 1104803675, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Cottontree Center is located?
The Cottontree Center is situated at the following address: 190 Central Park Sq, Los Alamos, NM, 875444001.
What is Cottontree Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Cottontree Center's specialized field of practice is Multi-specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104803675 to Cottontree Center?
The Centers for Medicare & Medicaid Services originally issued the 1104803675 to Cottontree Center on 2005-12-27.
When was the information pertaining to Cottontree Center most recently updated or revised?
The details related to Cottontree Center, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-25.