Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Extended Healthcare, LLC

Organization General Practice Physician · NPI 1154785640

Extended Healthcare, LLC is a General Practice Physician in Albuquerque, New Mexico. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2600 Veranda Rd NW
Albuquerque, NM 87107-2940
Phone: (505) 414-3996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Adult Health Clinical Nurse Specialist Taxonomy 364SA2200X

Record details

NPI number1154785640
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Lewis — Ceo · (505) 414-3996
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016
Mailing address2600 Veranda Rd Nw, Albuquerque, NM 87107-2940

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