CONCENTRA MEDICAL CENTER-SANTA FE ESPANOLA (NPI# 1437345089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437345089 |
| Entity Type | Organization |
| Organization Name | CONCENTRA MEDICAL CENTER-SANTA FE ESPANOLA |
| Practice Address |
706 La Joya St Ste. D Espanola NM 87532-2877 |
| Mailing Address |
5080 Spectrum Dr Ste. 1200 West Tower Addison TX 75001-4648 |
| Practice Telephone | 5057470570 |
| Practice Fax Number | 5057531219 |
| Mailing Telephone | 8002323550 |
| Mailing Fax Number | 8004016728 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |
| Authorized Official Name | DR. TOM FOGARTY (EVP, CMO) |
| Authorized Official Telephone | 8002323550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
706 LA JOYA ST STE. D |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449931 | Amanda Rose Vander Wiel | Occupational Therapist | 706 La Joya St, Espanola, NM 87532-2877 | 2019-04-14 |
| 1124542865 | Adam Baggao | Physical Therapy Assistant | 706 La Joya St, Espanola, NM 87532-2877 | 2017-08-02 |
| 1497193379 | Ideal Home Care Inc. | In Home Supportive Care | 706 La Joya St, Espanola, NM 87532-2877 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
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| Find all providers with the same taxonomy | ||||
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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.