Provider Demographics
NPI:1962537761
Name:NAVITAS NEW MEXICO LLC
Entity type:Organization
Organization Name:NAVITAS NEW MEXICO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND TRAINING COORDINATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:RL
Authorized Official - Last Name:TALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-865-7840
Mailing Address - Street 1:9035 WADSWORTH PKWY
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8634
Mailing Address - Country:US
Mailing Address - Phone:303-865-7840
Mailing Address - Fax:303-865-7845
Practice Address - Street 1:4901 LANG AVE NE
Practice Address - Street 2:SUITE 100
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4397
Practice Address - Country:US
Practice Address - Phone:303-865-7840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation