NPIMap

Organization Active NPI

Ahs Lovelace Medical Group, LLC

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1992757710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
APPLIED FOR Issued in NM
Legal business name
AHS LOVELACE MEDICAL GROUP, LLC
Practice address
5400 Gibson Blvd SE
Floor 2, Elevator B
Albuquerque, NM 87108-4729
Phone
(505) 262-7174
Fax
(505) 262-3562
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen C Petrovich
Title
SVP
Phone
(615) 296-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X APPLIED FOR NM Primary

Addresses

Primary practice location

5400 Gibson Blvd SE
Floor 2, Elevator B
Albuquerque, NM 87108-4729

Mailing address

1 Burton Hills Blvd
Suite 250
Nashville, TN 37215-6104
Phone (615) 296-3000

National Provider Directory

National Provider Directory
Tax ID family
Lovelace Healthcare Center-Santa Fe24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

5400 Gibson Blvd SE
Ste 2
Albuquerque, NM 87108
Phone (505) 262-7174

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992757710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD",
            "address_2": "SUITE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156104",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD SE",
            "address_2": "FLOOR 2, ELEVATOR B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084729",
            "telephone_number": "505-262-7174",
            "fax_number": "505-262-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHS LOVELACE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.