LIBERTY NEW MEXICO PARTNERS 2, LLC (NPI# 1144564857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144564857 |
| Entity Type | Organization |
| Organization Name | LIBERTY NEW MEXICO PARTNERS 2, LLC |
| Other Organization Name | LIBERTY DIALYSIS - RIO RANCHO |
| Practice Address |
5751 Mcmahon Blvd Nw Albuquerque NM 87114-5010 |
| Mailing Address |
7650 Se 27th St Ste 200 Mercer Island WA 98040-3060 |
| Practice Telephone | 2062365001 |
| Mailing Telephone | 2062365001 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2013-10-21 |
| Authorized Official Name | MARK CAPUTO (MANAGER) |
| Authorized Official Telephone | 2062365001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Liberty Dialysis - Rio Rancho | Doing Business As Name - Organization |
| Street Address |
5751 MCMAHON BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710406301 | Dialysis Clinic Inc | Clinic/Center | 8121 Central Ave Nw, Albuquerque, NM 87121-2125 | 2017-09-14 |
| 1033634175 | Chantry Dialysis, LLC | Clinic/Center | 10410 Copper Point Way Ne, Albuquerque, NM 87123-1158 | 2017-08-10 |
| 1386016541 | Bogachiel Dialysis LLC | Clinic/Center | 5201 San Mateo Blvd Ne, Albuquerque, NM 87109-2414 | 2015-10-28 |
| 1588063143 | Albuquerque Westside, LLC | Clinic/Center | 300 Unser Blvd Nw, Albuquerque, NM 87121-1969 | 2014-08-20 |
| 1336483221 | Liberty New Mexico Partners 1, LLC | Clinic/Center | 3810 Commons Ave Ne, Albuquerque, NM 87109-5831 | 2012-11-16 |
| 1093077406 | Dialysis Clinic Inc. | Clinic/Center | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | 2012-06-12 |
| 1275747735 | Dialysis Clinic Inc. | Clinic/Center | 905 Louisiana Blvd, Ne, Albuquerque, NM 87110-7048 | 2007-05-10 |
| 1699804807 | Unm Hospital | Clinic/Center | 2211 Lomas Blvd., Ne, Albuquerque, NM 87106-2745 | 2007-03-05 |
| 1770695678 | Bio Medical Applications of New Mexico, Inc. | Clinic/Center | 1600 Randolph Se, Albuquerque, NM 87106 | 2006-08-31 |
| 1306958202 | Bio-medical Applications of New Mexico, Inc. | Clinic/Center | 11296 Lomas Blvd Ne, Albuquerque, NM 87112-5578 | 2006-08-31 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87114 |
Please comment or provide details below to improve the information on LIBERTY NEW MEXICO PARTNERS 2, LLC.
| 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.