Provider Demographics
NPI:1154494011
Name:BEBE CARE
Entity type:Organization
Organization Name:BEBE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORSEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-250-6731
Mailing Address - Street 1:4333 PAN AMERICAN FWY NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-6833
Mailing Address - Country:US
Mailing Address - Phone:505-266-3835
Mailing Address - Fax:505-266-3340
Practice Address - Street 1:4333 PAN AMERICAN FWY NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-6833
Practice Address - Country:US
Practice Address - Phone:505-266-3835
Practice Address - Fax:505-266-3340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM0281OtherBLUE CROSS BLUE SHIELD
NM201051434OtherPRESBYTERIAN HEALTH PLAN
NM51854Medicaid