OrganizationSage Primary Care ClinicInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address7850 Jefferson St NE Ste 300, Albuquerque, NM 87109-4314(505) 884-1114PECOS EnrollmentBased on the most recent information from CMS, provider Sage Primary Care Clinic does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1043933054Provider TypeOrganizationFull NameSage Primary Care ClinicSubpartYesEnumeration Date9/23/2022Last Updated9/23/2022Contact InformationPractice LocationPractice Address7850 Jefferson St NE Ste 300, Albuquerque, NM 87109-4314Phone(505) 884-1114Fax(505) 884-3004Mailing LocationMailing Address7850 Jefferson St NE Ste 300, Albuquerque, NM 87109-4314Phone(505) 884-1114Fax(505) 884-3004Authorized OfficialNameSutter, Reuben (Ceo)Phone(505) 884-1114Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RE0101XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer