PREMISE HEALTH OF NEW MEXICO MEDICAL P C (NPI# 1366782526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366782526 |
| Entity Type | Organization |
| Organization Name | PREMISE HEALTH OF NEW MEXICO MEDICAL P C |
| Other Organization Name | MY HEALTH CENTER AT LOWE'S NEW MEXICO |
| Practice Address |
6401 Jefferson St Ne Albuquerque NM 87109-4376 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 5052008800 |
| Practice Fax Number | 5052008810 |
| Mailing Telephone | 8778659013 |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | DR. PETER J VASQUEZ (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| My Health Center At Lowe's New Mexico | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922381136 | Premise Health of New Mexico Medical P C | Clinic/Center | 1600 Rio Rancho Dr Se, Rio Rancho, NM 87124-1092 | 2011-09-23 |
| Street Address |
6401 JEFFERSON ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572710 | Vasco Healthcare Inc | Clinic/Center | 717 Encino Pl Ne Ste 8, Albuquerque, NM 87102-2624 | 2020-06-11 |
| 1578100251 | Med-ease Medical Associates LLC | Clinic/Center | 6300 Montano Rd Nw Ste G1, Albuquerque, NM 87120-1826 | 2019-12-02 |
| 1891281259 | Pain and Addiction Services, LLC | Clinic/Center | 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 | 2018-07-09 |
| 1477076008 | Florecer Therapies Inc | Clinic/Center | 1320 Arenal Rd Sw, Albuquerque, NM 87105-4030 | 2017-07-25 |
| 1750767810 | Southwest Care Center Jefferson Albuquerque | Clinic/Center | 4710 Jefferson Ne, Suite A, Albuquerque, NM 87109 | 2015-07-30 |
| 1063788701 | Integrated Wellness | Clinic/Center | 10209 Nacimiento St Nw, Albuquerque, NM 87114-4457 | 2012-03-27 |
| 1548879240 | Twilight Care Inc | Clinic/Center | 11516 Pine Top Ln Ne, Albuquerque, NM 87111-6585 | 2020-07-28 |
| 1629494760 | Turning Point Recovery Center, Inc. | Clinic/Center | 3939 San Pedro Dr Ne, D1, Albuquerque, NM 87110-8900 | 2014-03-13 |
| 1750610499 | Turning Point Recovery Center, Inc. | Clinic/Center | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2009-12-08 |
| 1275693780 | Transray Diagnostic, Inc | Clinic/Center | 703 Osuna Rd Ne, Suite 3, Albuquerque, NM 87113-1391 | 2006-12-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on PREMISE HEALTH OF NEW MEXICO MEDICAL P C.
| 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.