Provider Demographics
NPI:1023395001
Name:JTHINK LLC
Entity Type:Organization
Organization Name:JTHINK LLC
Other - Org Name:MEADOW CITY FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LARRANAGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-426-0700
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NM
Mailing Address - Zip Code:87701-0966
Mailing Address - Country:US
Mailing Address - Phone:915-491-4860
Mailing Address - Fax:
Practice Address - Street 1:611 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NM
Practice Address - Zip Code:87701-4243
Practice Address - Country:US
Practice Address - Phone:505-426-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-04
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP01322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty