ULTIMED RED RIVER, INC. (NPI# 1114220316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114220316 |
| Entity Type | Organization |
| Organization Name | ULTIMED RED RIVER, INC. |
| Other Organization Name | ULTIMED ANGEL FIRE |
| Practice Address |
37 Aspen Angel Fire NM 87710-0000 |
| Mailing Address |
707 Paseo De Peralta Santa Fe NM 87501-1922 |
| Practice Telephone | 5757541773 |
| Mailing Telephone | 5059898707 |
| Mailing Fax Number | 5059893536 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-14 |
| Authorized Official Name | DR. LESA FRAKER (PRESIDENT) |
| Authorized Official Telephone | 5059898707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TAOS COMPREHENSIVE HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ultiMED Angel Fire | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962719765 | Ultimed Red River, Inc. | Clinic/Center | 200a Pioneer Rd, Red River, NM 87558 | 2010-09-01 |
| Street Address |
37 ASPEN |
| City | ANGEL FIRE |
| State | NM |
| Zip Code | 87710-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922376896 | Angel Fire Primary Care | General Practice | 37 Aspen, Angel Fire, NM 87710-0000 | 2011-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598323990 | Timothy Doolin | Dentist | 27479 Us-64, Angel Fire, NM 87710 | 2019-05-31 |
| 1790137735 | Bestcare Pharmacy Angel Fire LLC | Durable Medical Equipment & Medical Supplies | Unit B4, The Inn, Highway 434, Angel Fire, NM 87710 | 2016-07-01 |
| 1447624879 | Aicha Bech Froeschle | Physical Therapist | 56 Camino Grande, Angel Fire, NM 87710 | 2015-11-23 |
| 1104211655 | Shenan Lark | Personal Emergency Response Attendant | 28 Aspen St. # 205, Angel Fire, NM 87710 | 2015-04-01 |
| 1215163639 | South Central Colfax County Special Hospital District | Clinic/Center | 11 Elliott Barker Road, Angel Fire, NM 87710 | 2009-06-01 |
| 1811147028 | Robert Sproat Gordon | Family Medicine | 13 Coronad Circle, Angel Fire, NM 87710 | 2008-09-24 |
| 1467649806 | Village of Angel Fire | Secured Medical Transport (VAN) | 11 N Angel Fire Road, Angel Fire, NM 87710 | 2007-10-01 |
| 1619177599 | Margaret Vanantwerp | Nurse Practitioner | 11 Elliott Barker, Angel Fire, NM 87710 | 2007-07-19 |
| 1821206756 | The Longevity Chiropractic Center | Chiropractor | 3762 Hwy 434, Angel Fire, NM 87710 | 2007-05-21 |
| 1053534818 | Rhonda Joann Lee-hicks | Occupational Therapist | 13 Hideaway Lane County Road B4, Angel Fire, NM 87710 | 2007-04-10 |
| Find all providers in zip 87710 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1598141152 | St. Vincent Hospital | Clinic/Center | 5501 Herrera Dr Ste B, Santa Fe, NM 87507-2684 | 2015-08-06 |
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| 1821484528 | Hcp Systems LLC | Clinic/Center | 2925 Carlisle Blvd Ne, Albuquerque, NM 87110-2807 | 2015-04-09 |
| 1912267493 | Occupational Testing Resources LLC | Clinic/Center | 1504 N. Grimes, Hobbs, NM 88240 | 2012-05-18 |
| 1760740245 | Memorial Prompt Care LLC | Clinic/Center | 3030 W Picacho Ave, Suite D, Las Cruces, NM 88007-4721 | 2012-05-02 |
| 1053629501 | Quick Care LLC | Clinic/Center | 850 N Motel Blvd, Las Cruces, NM 88007-8159 | 2010-09-17 |
| 1962719765 | Ultimed Red River, Inc. | Clinic/Center | 200a Pioneer Rd, Red River, NM 87558 | 2010-09-01 |
| Find all providers with the same taxonomy | ||||
| City | ANGEL FIRE |
| Zip Code | 87710 |
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| 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.