Provider Demographics
NPI:1831379510
Name:ADULT HEALTH CARE, PC
Entity type:Organization
Organization Name:ADULT HEALTH CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-244-0640
Mailing Address - Street 1:5341 WYOMING BLVD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3164
Mailing Address - Country:US
Mailing Address - Phone:505-244-0640
Mailing Address - Fax:505-244-0642
Practice Address - Street 1:5341 WYOMING BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3164
Practice Address - Country:US
Practice Address - Phone:505-244-0640
Practice Address - Fax:505-244-0642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM90-109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1740372812OtherINDIVIDUAL NPI
NM00NM009W68OtherBLUE CROSS BLUE SHIELD
NM1740372812OtherINDIVIDUAL NPI