FAMILY CLINIC OF NEW MEXICO (NPI# 1821364902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821364902 |
| Entity Type | Organization |
| Organization Name | FAMILY CLINIC OF NEW MEXICO |
| Practice Address |
4600 Jefferson Ln Ne Suite D Albuquerque NM 87109-2134 |
| Practice Telephone | 5058814012 |
| Practice Fax Number | 5058814883 |
| Mailing Telephone | 5058814012 |
| Mailing Fax Number | 5058814883 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | CARLA FRANCO (PRESIDENT) |
| Authorized Official Telephone | 5058814012 |
| Authorized Official Credential | FNP-BC |
| Is Organization Subpart | Y |
| Parent Organization Name | CARCARR HOLDINGS CORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | CNP00453 | NM | Managed Care Organizations |
| Street Address |
4600 JEFFERSON LN NE SUITE D |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164405064 | Melvin Romero | Family Medicine | 4600 Jefferson Ln Ne, Suite A, Albuquerque, NM 87109-2134 | 2005-11-23 |
| 1902112956 | Romero Family Medicine,llc | Clinic/Center | 4600 Jefferson Ln Ne, Suite A, Albuquerque, NM 87109-2134 | 2010-08-27 |
| 1598788697 | Sally L Harris | Psychiatry & Neurology | 4600 Jefferson Ln Ne, Suite D, Albuquerque, NM 87109-2134 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053860585 | Rebecca Frock Ma, Lpcc | Preferred Provider Organization | 320 Osuna Rd Ne, Suite 4h, Albuquerque, NM 87107-5952 | 2016-09-26 |
| 1700037678 | Corazon Family Health | Preferred Provider Organization | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063809085 | Rio Sedillo Assisted Living | Preferred Provider Organization | 133 Camino, Los Chavez, Los Lunas, NM 87031 | 2015-04-16 |
| 1093750457 | Harold K. Mcfarling, D.o., P.C. | Preferred Provider Organization | 503 N Auburn Ave, Farmington, NM 87401-2606 | 2006-06-19 |
| 1912383001 | La Familia Primary Care | Preferred Provider Organization | 190 Hospital Dr, Raton, NM 87740-2002 | 2015-07-31 |
| 1043459571 | Los Alamos Urgent Care | Preferred Provider Organization | 3600 Rodeo Ln, Suite A-1, Santa Fe, NM 87507-6400 | 2009-02-06 |
| 1710126248 | New Mexico Medworks | Preferred Provider Organization | 3600 Rodeo Ln, Suite A-1, Santa Fe, NM 87507-6400 | 2009-02-06 |
| 1487893012 | Valley First Care | Preferred Provider Organization | 3600 Rodeo Ln, Suite A1, Santa Fe, NM 87507-6400 | 2009-02-04 |
| 1497948863 | James Simnacher,od,pa | Preferred Provider Organization | 901 E 21st St, Clovis, NM 88101-4400 | 2007-08-20 |
| 1538113055 | Taos Orthopaedic Institute, PC | Preferred Provider Organization | 1219 Gusdorf Rd, Taos, NM 87571-5402 | 2006-05-20 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on FAMILY CLINIC OF NEW MEXICO.
| 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.