Provider Demographics
NPI:1417901612
Name:HEALTHFRONT PC
Entity Type:Organization
Organization Name:HEALTHFRONT PC
Other - Org Name:NORTHERN NEW MEXICO EMERGENCY MEDICAL SERVICES PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-440-8440
Mailing Address - Street 1:PO BOX 844449
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4449
Mailing Address - Country:US
Mailing Address - Phone:800-579-7777
Mailing Address - Fax:
Practice Address - Street 1:455 SAINT MICHAELS DR
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7601
Practice Address - Country:US
Practice Address - Phone:505-983-3361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14924OtherPRESYBETERIAN
NM007002OtherBLUE CROSS
32D0920783OtherCLIA WAIVER
NM000K8226Medicaid
187732400OtherDEPARTMENT OF LABOR
CD2579OtherRAIL ROAD MEDICARE
32D0920783OtherCLIA WAIVER