Provider Demographics
NPI:1326234147
Name:NATIONAL HEALTHCARE CENTER INC
Entity Type:Organization
Organization Name:NATIONAL HEALTHCARE CENTER INC
Other - Org Name:NATIONAL HEALTHCARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:JISHUN
Authorized Official - Last Name:HAO
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-986-0542
Mailing Address - Street 1:2019 GALISTEO ST STE C1
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2168
Mailing Address - Country:US
Mailing Address - Phone:505-986-0542
Mailing Address - Fax:505-986-8984
Practice Address - Street 1:2019 GALISTEO ST STE C1
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-2168
Practice Address - Country:US
Practice Address - Phone:505-986-0542
Practice Address - Fax:505-986-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-16
Last Update Date:2007-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM263171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty