THOREAU CLINIC (NPI# 1679516702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679516702 |
| Entity Type | Organization |
| Organization Name | THOREAU CLINIC |
| Practice Address |
3 Navarre Street Thoreau NM 87323 |
| Mailing Address |
Po Box 358 Crownpoint NM 87313-0358 |
| Practice Telephone | 5058628250 |
| Practice Fax Number | 5058628909 |
| Mailing Telephone | 5057865291 |
| Mailing Fax Number | 5057866440 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MR. ANSLEM ROANHORSE (CEO) |
| Authorized Official Telephone | 5057865291 |
| Is Organization Subpart | Y |
| Parent Organization Name | DHHS PHS NAIHS CROWNPOINT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE GROUP PTAN | HSZ145 | 01 |
| NM | R2903 | 05 |
| Street Address |
3 NAVARRE STREET |
| City | THOREAU |
| State | NM |
| Zip Code | 87323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352862 | Harry Goldenberg | Obstetrics & Gynecology | 3 Navarre Street, Thoreau, NM 87323 | 2006-07-05 |
| 1740210293 | Lori C Lee | Physical Therapist | 3 Navarre Street, Thoreau, NM 87323 | 2006-07-03 |
| 1093743270 | Steven M Glover | Optometrist | 3 Navarre Street, Thoreau, NM 87323 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538542485 | County of Mckinley | Ambulance | #65 1st Street, Thoreau, NM 87323 | 2015-07-09 |
| 1225444912 | Thoreau Behavioral Health Services | Community/Behavioral Health | .5 Miles East Highway 371, Thoreau, NM 87323 | 2014-07-02 |
| 1174809669 | Deswood Johnson Jr. | Counselor | Bldg # T004-006 05 Miles East of 371, Thoreau, NM 87323 | 2011-10-27 |
| 1861773004 | Khadjenoury LLC | Community/Behavioral Health | 8 Hawk Circle, Edventures C/o Thoreau Middle School, Thoreau, NM 87323 | 2011-09-01 |
| 1831422427 | A'jooba Direct Care | Home Health | Hywy371, 3 Miles South of Smith Lake Chapter House, Thoreau, NM 87323 | 2009-09-14 |
| 1801048640 | A'jooba' Personal Care, LLC | In Home Supportive Care | Hwy 371 8.5 N Thoreau, Thoreau, NM 87323 | 2008-10-10 |
| 1831266311 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 15 Navarre, Thoreau, NM 87323 | 2006-11-29 |
| 1700992617 | Thoreau Ambulance Service | Ambulance | #65 First St, Thoreau, NM 87323 | 2006-08-22 |
| 1124310982 | James Sandoval | Counselor | .5 Miles East of Hwy 371, Thoreau, NM 87323 | 2011-05-11 |
| 1194091975 | Alaago Transport, LLC. | Non-emergency Medical Transport (VAN) | 31 First Avenue, Thoreau, NM 87323-0547 | 2012-03-27 |
| Find all providers in zip 87323 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
| 1649894544 | Hope Medical Services, LLC | Clinic/Center | 305 Faculty Ln, Corrales, NM 87048-8721 | 2020-06-05 |
| 1285260588 | Uptown Dermatology LLC | Clinic/Center | 8016 Constitution Pl Ne, Albuquerque, NM 87110-7628 | 2020-03-18 |
| 1194372789 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1183 Diamond Dr Ste D, Los Alamos, NM 87544-2228 | 2019-08-20 |
| 1245798024 | Lovelace Health System, Inc. | Clinic/Center | 460 Saint Michaels Dr Ste 505, Santa Fe, NM 87505-7622 | 2019-03-11 |
| 1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
| 1588136956 | Hope and Healing Counseling LLC | Clinic/Center | 5880 First St., Organ, NM 88052 | 2018-12-26 |
| 1811473978 | Presbyterian Medical Services | Clinic/Center | 282 Casa Blanca Rd, Casa Blanca, NM 87007 | 2018-07-12 |
| 1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
| 1053850784 | Olive Tree Pharmacy, Co. | Clinic/Center | 1920 Westside Blvd Se Ste B, Rio Rancho, NM 87124-4893 | 2017-02-14 |
| 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.