OrganizationActive
Vip Starnetwork, LLC
NPI 1104442698 · Medical Specialty Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1104442698
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Johonniuss Chemweno, Ceo(505) 389-2279
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Based Hospice Care Agency251G00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Supports Brokerage Agency251X00000X
Agencies
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Practice location
4904 Alameda Blvd Ne Ste B
Albuquerque, NM 87113-2385
Phone: (505) 389-2279
Fax: (505) 212-0553
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 90056
Albuquerque, NM 87199-0056
Other names (DBA / former)
- Former legal business name
- Vip Starnetwork, LLC
Registry dates
- Enumerated
- 2020-06-19
- Last updated
- 2020-06-19
- Certified
- 2020-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.