ROBERT F. KENNEDY CHARTER HIGH SCHOOL (NPI# 1013190610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013190610 |
| Entity Type | Organization |
| Organization Name | ROBERT F. KENNEDY CHARTER HIGH SCHOOL |
| Other Organization Name | ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER |
| Practice Address |
4300 Blake Sw Albuquerque NM 87121 |
| Practice Telephone | 5052431118 |
| Practice Fax Number | 5052427444 |
| Mailing Telephone | 5052431118 |
| Mailing Fax Number | 5052427444 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-03-04 |
| Authorized Official Name | MS. BONNIE K. KAUEMAN (ROBERT. F. KENNEDY SBHC COORDINATOR) |
| Authorized Official Telephone | 5052397589 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 3201078041 | NM | Laboratories |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CL00D110644 | NM | Suppliers |
| N | 251S00000X | Community/Behavioral Health | NM | Agencies | |
| Y | 261Q00000X | Clinic/Center | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 1C01 | 05 |
| Other Name | Type Code |
|---|---|
| Robert F. Kennedy School Based Heath Center | Doing Business As Name - Organization |
| Street Address |
4300 BLAKE SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1316303647 | Southwest Care Center | Clinic/Center | 4710 Jefferson St Ne Ste A, Albuquerque, NM 87109-2156 | 2015-12-31 |
| 1568842953 | The Human Body Shop | Clinic/Center | 617 Solano Dr Se, Albuquerque, NM 87108-3380 | 2015-06-01 |
| 1356736573 | Visionquest Irb | Clinic/Center | 2501 Yale Blvd Se, Suite 301, Albuquerque, NM 87106-4200 | 2015-04-03 |
| 1235531468 | Health Quest Wellness Central LLC | Clinic/Center | 723 Silver Ave Sw Ste L1, Albuquerque, NM 87102-3018 | 2014-09-18 |
| 1033547302 | Health Quest Wellness Cottonwood LLC | Clinic/Center | 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, NM 87114-1578 | 2013-10-24 |
| 1598058232 | Over The Edge Group Home for Disable | Clinic/Center | 7010 Phoenix Ave Ne Apt 310, Albuquerque, NM 87110-3505 | 2011-05-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
Please comment or provide details below to improve the information on ROBERT F. KENNEDY CHARTER HIGH SCHOOL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.