NM VA HEALTH CARE SYSTEM (NPI# 1154665628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154665628 |
| Entity Type | Organization |
| Organization Name | NM VA HEALTH CARE SYSTEM |
| Practice Address |
3121 La Junta Rd Sw Albuquerque NM 87105-5643 |
| Practice Telephone | 5057109505 |
| Mailing Telephone | 5057109505 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | MR. ROGER CRAIG BUSTAMANTE (LPN) |
| Authorized Official Telephone | 5057109505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Street Address |
3121 LA JUNTA RD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427425487 | Vha | Clinic/Center | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2015-08-26 |
| 1467682237 | New Mexico Va Healthcare System | Clinic/Center | 1501 San Pedro Dr Se, Ambulatory Care (115), Albuquerque, NM 87108-5153 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053353102 | Albuquerque Vamc | Clinic/Center | 624 University Ave, Las Vegas, NM 87701-4278 | 2006-06-12 |
| 1699713156 | Albuquerque Vamc | Clinic/Center | 2950 Leslie Road, Silver City, NM 88061-7212 | 2006-06-04 |
| 1295773331 | Albuquerque Vamc | Clinic/Center | 5152 Beckner Road, Santa Fe, NM 87505-9998 | 2006-06-02 |
| 1407894546 | Albuquerque Vamc | Clinic/Center | 1493 Whittier Street, Raton, NM 87740-9998 | 2006-06-02 |
| 1477509172 | Albuquerque | Clinic/Center | 2075 Nm Hwy 602, Gallup, NM 87301-9998 | 2006-05-25 |
| 1972559730 | El Paso Vamc | Clinic/Center | 3401 Del Ray Blvd., Las Cruces, NM 88012-8041 | 2006-05-25 |
| 1437104882 | Big Spring Vamc | Clinic/Center | 1601 N Turner St, Broadmoor Tower, Hobbs, NM 88240-4331 | 2006-05-24 |
| 1770536641 | Albuquerque Vamc | Clinic/Center | 3605 English Road, Farmington, NM 87402-8303 | 2006-05-19 |
| 1972556322 | Albuquerque Vamc | Clinic/Center | 105 S Coronado Ave, Espanola, NM 87532-2862 | 2006-05-18 |
| 1043261472 | Albuquerque Vamc | Clinic/Center | 2410 W Main St, Artesia, NM 88210-3716 | 2006-05-12 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on NM VA HEALTH CARE SYSTEM.
| 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.