ALBUQUERQUE WESTSIDE, LLC (NPI# 1588063143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588063143 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE WESTSIDE, LLC |
| Other Organization Name | FRESENIUS MEDICAL CARE ALBUQUERQUE WESTSIDE |
| Practice Address |
300 Unser Blvd Nw Albuquerque NM 87121-1969 |
| Practice Telephone | 5058395282 |
| Practice Fax Number | 5058314503 |
| Mailing Telephone | 5058395282 |
| Mailing Fax Number | 5058314503 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | JAMES J. DIVITO (VICE PRESIDENT) |
| Authorized Official Telephone | 7816999000 |
| Is Organization Subpart | Y |
| Parent Organization Name | FRESENIUS MEDICAL CARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
NM | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FRESENIUS MEDICAL CARE ALBUQUERQUE WESTSIDE | Doing Business As Name - Organization |
| Street Address |
300 UNSER BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-1969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695848 | Nathan Herring | Registered Nurse | 300 Unser Blvd Nw, Albuquerque, NM 87121-1969 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| 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 |
| 1144564857 | Liberty New Mexico Partners 2, LLC | Clinic/Center | 5751 Mcmahon Blvd Nw, Albuquerque, NM 87114-5010 | 2012-11-19 |
| 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 | 87121 |
Please comment or provide details below to improve the information on ALBUQUERQUE WESTSIDE, 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.