LOVELACE UNM REHABILITATION HOSPITAL LLC PAIN CLINC (NPI# 1780147454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780147454 |
| Entity Type | Organization |
| Organization Name | LOVELACE UNM REHABILITATION HOSPITAL LLC PAIN CLINC |
| Practice Address |
500 Walter St Ne Ste 213 Albuquerque NM 87102-2543 |
| Mailing Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 5057277177 |
| Practice Fax Number | 5057273778 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | STEPHEN C. PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
500 WALTER ST NE STE 213 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003111873 | Melissa A Merhege | Psychiatry & Neurology | 500 Walter St Ne Ste 213, Albuquerque, NM 87102 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697868 | Osuna Medical Associates, Pa | Clinic/Center | 5740 Osuna Rd Ne, Albuquerque, NM 87109-2527 | 2008-04-24 |
| 1518478866 | Diego J Gonzalez Md PC | Clinic/Center | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2017-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801365317 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, T Or C, NM 87901-1954 | 2018-11-14 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1568992600 | Pain & Spine Clinic of New Mexico PC | Clinic/Center | 4401 E Lohman Ave, Las Cruces, NM 88011 | 2017-06-12 |
| 1063785921 | Mesilla Valley Pain Clinic, LLC | Clinic/Center | 1240 S Telshor Blvd Ste A, Las Cruces, NM 88011-4731 | 2012-02-22 |
| 1922305580 | Smith Chiropractic, PC | Clinic/Center | 1707 E 20th St, Farmington, NM 87401-4309 | 2011-02-17 |
| 1962537027 | John S Caskey M.d., LLC | Clinic/Center | 1421 Luisa St, Unit I, Santa Fe, NM 87505-4073 | 2007-02-22 |
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on LOVELACE UNM REHABILITATION HOSPITAL LLC PAIN CLINC.
| 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.