BLOOM NEW MEXICO LLC (NPI# 1750942207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750942207 |
| Entity Type | Organization |
| Organization Name | BLOOM NEW MEXICO LLC |
| Other Organization Name | AMERICAN FAMILY CARE |
| Practice Address |
2930 E Main St Farmington NM 87402-7624 |
| Mailing Address |
50 Henry St Cortez CO 81321-3012 |
| Practice Telephone | 5053266000 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | SPENCER SMITH (CEO) |
| Authorized Official Telephone | 9705651919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| AFC Urgent Care | Doing Business As Name - Organization |
| American Family Care | Doing Business As Name - Organization |
| Street Address |
2930 E MAIN ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87402-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661556 | Jesse Alexander Keele | Nurse Practitioner | 2930 E Main St, Farmington, NM 87402-7624 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127803 | Guy Mearle Youell Jr. | Physical Therapy Assistant | 3701 Messina Dr. #108, Farmington, NM 87402 | 2018-06-08 |
| 1740612498 | Four Corners Sleep Supplies | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite B, Farmington, NM 87402 | 2013-08-05 |
| 1528400199 | Cloud 9 Sleep Center | Clinic/Center | 6600 E Main St, Suite C, Farmington, NM 87402 | 2013-07-24 |
| 1023395027 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2844 E Main St Ste 105, Farmington, NM 87402 | 2011-11-04 |
| 1356530927 | Brimhall Chiropractic Wellness LLC | Chiropractor | 6610 E Main St, Farmington, NM 87402 | 2007-10-19 |
| 1548468184 | Susan L Burns | Hearing Instrument Specialist | 4331 E. Main St., Suite 202, Farmington, NM 87402 | 2007-07-05 |
| 1205031945 | Joanne Christine Rhodus | Speech-Language Pathologist | 6417 Red Rock Ct, Farmington, NM 87402 | 2007-06-20 |
| 1487867875 | Harvey R. Weber | Dentist | 4725 Foothills Dr., Farmington, NM 87402 | 2007-05-08 |
| 1891834891 | Rex Baker | Family Medicine | 4820 East Main St, Farmington, NM 87402 | 2007-02-06 |
| 1568531481 | Portia Deanne Sykes | Neuromusculoskeletal Medicine, Sports Medicine | 8100 East Main Street, Farmington, NM 87402 | 2006-11-07 |
| Find all providers in zip 87402 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
| 1639635188 | Community Birth Group | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2019-02-20 |
| 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 |
| 1700345436 | Lancer Health Group, LLC | Clinic/Center | 1400 S 2nd St, Raton, NM 87740-2102 | 2019-03-12 |
| 1265998314 | Stillwater Therapeutic Bodywork | Clinic/Center | 460 Saint Michaels Dr Ste 1205, Santa Fe, NM 87505-8605 | 2019-02-13 |
| 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 |
| 1366782526 | Premise Health of New Mexico Medical P C | Clinic/Center | 6401 Jefferson St Ne, Albuquerque, NM 87109-4376 | 2013-02-26 |
| 1063788701 | Integrated Wellness | Clinic/Center | 10209 Nacimiento St Nw, Albuquerque, NM 87114-4457 | 2012-03-27 |
| 1336442854 | San Cristobal Treatment Center | Clinic/Center | 176 Camino Del Medio, San Cristobal, NM 87564 | 2010-12-07 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87402 |
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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.