UNIVERSITY OF NEW MEXICO (NPI# 1043461163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043461163 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NEW MEXICO |
| Practice Address |
1111 Easterday Dr Ne Albuquerque NM 87112-5115 |
| Mailing Address |
Unm School Based Health Ctrs Msc09 5040 1 University of New Mexico Albuquerque NM 87131-0001 |
| Practice Telephone | 5052992113 |
| Practice Fax Number | 5053231338 |
| Mailing Telephone | 5052720457 |
| Mailing Fax Number | 5052722043 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Authorized Official Name | MR. ANTHONY MASCIATRA (CEO) |
| Authorized Official Telephone | 5052728950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
R45196 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 3A12 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258656 | University of New Mexico | Special Hospital | 9125 Copper Ave Ne Apt 617, Albuquerque, NM 87123-1077 | 2015-06-26 |
| 1649561986 | University of New Mexico | General Acute Care Hospital | 9800 Bajada Dr Nw, Albuquerque, NM 87114-4365 | 2011-04-20 |
| 1215261946 | University of New Mexico | Advanced Practice Midwife | 1841b Highway 66, Edgewood, NM 87015-9104 | 2009-09-29 |
| 1669614947 | University of New Mexico | General Acute Care Hospital | Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-01 |
| 1649446089 | University of New Mexico | Psychiatric Unit | Department of Psychiatry Som Msc09 5030, Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2008-05-06 |
| 1144605676 | University of New Mexico | Clinic/Center | 1 University of New Mexico, Msc10 5580, Albuquerque, NM 87131-0001 | 2015-07-27 |
| 1598019358 | University of New Mexico | Clinic/Center | 625 Silver Ave Sw, Albuquerque, NM 87102-3123 | 2012-11-01 |
| 1285714766 | University of New Mexico | Clinic/Center | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO - GALLUP | 200 College Rd, Gallup, NM 87301-5603 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO AT LOS ALAMOS | 4000 University Dr, Los Alamos, NM 87544-2233 |
| System for Award Management (SAM) Entities | UNIVERSITY OF NEW MEXICO-TAOS | 1157 County Road 110, Ranchos De Taos, NM 87557-6000 |
| Street Address |
1111 EASTERDAY DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588703870 | Rebecca Ginn | Speech-Language Pathologist | 1111 Easterday Dr Ne, Grant Ms, Albuquerque, NM 87112-5115 | 2007-02-05 |
| 1336603356 | Stephanie Neufeld | Registered Nurse | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2019-01-23 |
| 1396277497 | Fnch Sbhc Grant Location | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2017-03-29 |
| 1275904633 | Youth Development, Inc. | Community/Behavioral Health | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2015-10-12 |
| 1598107039 | Presbyterian Medical Services | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2013-07-25 |
| 1467580654 | Lucas Bojorquez | Social Worker | 1111 Easterday Dr Ne, Grant Ms, Albuquerque, NM 87112-5115 | 2007-03-01 |
| 1780712786 | Betty Dickerson | Social Worker | 1111 Easterday Dr Ne, Grant Ms, Albuquerque, NM 87112-5115 | 2007-03-01 |
| 1821126335 | Elizabeth Arguello | Social Worker | 1111 Easterday Dr Ne, Grant Ms, Albuquerque, NM 87112-5115 | 2007-02-28 |
| 1366579302 | Janice Mcclure | Speech-Language Pathologist | 1111 Easterday Dr Ne, Grant Ms, Albuquerque, NM 87112-5115 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1043472111 | University of New Mexico Medical Group, Inc. | Clinic/Center | 700 Louisiana Se, Albuquerque, NM 87108 | 2008-06-30 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1114307071 | Owens Administrative & Healthcare Support Services | Clinic/Center | 4300 Blake Rd Sw, Albuquerque, NM 87121-5179 | 2015-06-05 |
| 1699166140 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87185-1019 | 2015-02-05 |
| 1174965610 | Presbyterian Medical Services | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2013-07-25 |
| 1598107039 | Presbyterian Medical Services | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2013-07-25 |
| 1518129683 | University of New Mexico Medical Group, Inc. | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2008-06-30 |
| 1427210590 | University of New Mexico Medical Group, Inc. | Clinic/Center | 415 Thaxton Ave Se, Albuquerque, NM 87102-4855 | 2008-06-30 |
| 1649431677 | University of New Mexico Medical Group, Inc. | Clinic/Center | 4700 Coal Ave Se, Albuquerque, NM 87108-2804 | 2008-06-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on UNIVERSITY OF NEW MEXICO.
| 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.