NEW MEXICO MOUNTAIN HEALTHCARE (NPI# 1508021627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508021627 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO MOUNTAIN HEALTHCARE |
| Practice Address |
348 St. Rd. 4 San Ysidro NM 87053 |
| Practice Telephone | 5054046048 |
| Mailing Telephone | 5054046048 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | MARK G DUMAL (CEO) |
| Authorized Official Telephone | 5054046048 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
97-229 | NM | Ambulatory Health Care Facilities |
| Street Address |
348 ST. RD. 4 |
| City | SAN YSIDRO |
| State | NM |
| Zip Code | 87053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831250398 | Zia Health Center | Clinic/Center | 155b Capital Square Drive, Zia Pueblo, NM 87053 | 2006-12-12 |
| 1053541409 | Paula S Practice | Clinic/Center | 348 State Road 4, San Ysidro, NM 87053-0348 | 2009-07-20 |
| 1992730683 | Paula M. Enyeart | Nurse Practitioner | 384 State Road 4, San Ysidro, NM 87053-0384 | 2006-07-11 |
| 1174848543 | Dolores Jean Millard | Dental Hygienist | 155b Capitol Square Drive, Zia Pueblo, NM 87053-6013 | 2010-03-29 |
| 1871820894 | Steven A Rodgers | Pharmacist | 155 Capitol Square Dr, Zia Pueblo, NM 87053-6013 | 2009-11-11 |
| 1225155666 | Zia Indian Health Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 155b Capitol Square Dr, San Ysidro, NM 87053-6013 | 2007-03-22 |
| 1770838237 | Robert Mark Chideckel | Dentist | 155 Capitol Square Dr, Zia Pueblo, NM 87053-6013 | 2012-07-19 |
| 1033421086 | Sharla Garcia | Dental Hygienist | 155b Capitol Square Dr, Zia Pueblo, NM 87053-6013 | 2010-07-07 |
| 1912331315 | Tanya Helena Galvan | Specialist | 28 Mountain Vw, Zia Pueblo, NM 87053-6106 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170245 | Vida Hospice Services Southern Inc | Hospice Care, Community Based | 95 E San Ysidro Blvd Ste B, San Ysidro, CA 92173-2616 | 2020-10-06 |
| 1609483957 | Avanti Health Care | Hospice Care, Community Based | 99 E San Ysidro Blvd, San Ysidro, CA 92173-2616 | 2020-09-29 |
| 1679182356 | Chrystal Rosales | Behavior Technician | 3994 Via Del Bardo, San Ysidro, CA 92173-1524 | 2020-07-28 |
| 1689221558 | Hector Puga Hernandez | Driver | 1811 Howard Ave, San Ysidro, CA 92173-1238 | 2019-08-24 |
| 1316592249 | Briana Diggins | Behavior Technician | 1946 Avenida De La Cruz, San Ysidro, CA 92173-2117 | 2019-08-07 |
| 1043863004 | Christina Iturralde | Technician, Other | 416 W San Ysidro Blvd # L1919, San Ysidro, CA 92173-2443 | 2019-07-18 |
| 1528521390 | Sandra Lc Gonzalez | Adult Companion | 1855 Lashlee Ln, San Ysidro, CA 92173-2119 | 2019-04-09 |
| 1851853121 | Miller Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 161 W San Ysidro Blvd Ste B-102, San Ysidro, CA 92173-2555 | 2019-04-04 |
| 1730640475 | Cinthia Nathalie Figueroa | Behavior Technician | 123 Virginia Ave, San Ysidro, CA 92173-2717 | 2019-03-26 |
| 1255898698 | Lorinda Corona | Licensed Vocational Nurse | 416 W San Ysidro Blvd # L2026, San Ysidro, CA 92173-2443 | 2019-02-21 |
| Find all providers in SAN YSIDRO | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396081550 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2012-12-17 |
| 1003033234 | Centro De Salud De La Communidad De San Ysidro, Inc | Clinic/Center | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2007-04-19 |
| 1346465986 | Centro De Salud De La Comunidad De San Ysidro, Inc. | Clinic/Center | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138244 | Gallup Health Cooperative | Clinic/Center | 600 E Coal Ave, Gallup, NM 87301-6006 | 2020-06-12 |
| 1942557434 | Blue Skies Health Care, Inc | Clinic/Center | 400 Horseshoe Dr Apt A, Deming, NM 88030-5246 | 2012-08-14 |
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1578639662 | Roosevelt County Special Hospital District | Clinic/Center | 2000 W 21st St Ste R1, Clovis, NM 88101-4098 | 2006-11-28 |
| 1538144415 | Presbyterian Healthcare Services | Clinic/Center | 471 Main Street, Corona, NM 88318 | 2005-12-13 |
| 1700492600 | Glow Women's Health, LLC | Clinic/Center | 5419 N Lovington Hwy Ste 10, Hobbs, NM 88240-9135 | 2020-09-17 |
| 1184193450 | San Miguel Hospital Corporation | Clinic/Center | 2515 Ridge Runner Rd, Las Vegas, NM 87701-4972 | 2018-11-16 |
| 1942741061 | Sierra Vista Mobile Clinic | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2017-03-09 |
| 1346780434 | Miners Colfax Medical Center | Clinic/Center | 203 Hospital Dr, Raton, NM 87740-2012 | 2017-03-08 |
| 1578010070 | Canoncito Band of Navajos Health Center, Inc. | Clinic/Center | 129 Medicine Horse Drive, Tohajiilee, NM 87026 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | SAN YSIDRO |
| Zip Code | 87053 |
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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.