ALBUQUERQUE VAMC (NPI# 1972556322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556322 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE VAMC |
| Other Organization Name | ESPANOLA VA CBOC |
| Practice Address |
105 S Coronado Ave Espanola NM 87532-2862 |
| Mailing Address |
Po Box 89495 Cleveland OH 44101-6495 |
| Practice Telephone | 7023413152 |
| Mailing Telephone | 7023413152 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Espanola VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053353102 | Albuquerque Vamc | Clinic/Center | 624 University Ave, Las Vegas, NM 87701-4278 | 2006-06-12 |
| 1699713156 | Albuquerque Vamc | Clinic/Center | 2950 Leslie Road, Silver City, NM 88061-7212 | 2006-06-04 |
| 1295773331 | Albuquerque Vamc | Clinic/Center | 5152 Beckner Road, Santa Fe, NM 87505-9998 | 2006-06-02 |
| 1407894546 | Albuquerque Vamc | Clinic/Center | 1493 Whittier Street, Raton, NM 87740-9998 | 2006-06-02 |
| 1770536641 | Albuquerque Vamc | Clinic/Center | 3605 English Road, Farmington, NM 87402-8303 | 2006-05-19 |
| 1073566527 | Albuquerque Vamc | Clinic/Center | 1970 E 3rd Ave, Ste 102, Durango, CO 81301-5056 | 2006-05-18 |
| 1043261472 | Albuquerque Vamc | Clinic/Center | 2410 W Main St, Artesia, NM 88210-3716 | 2006-05-12 |
| 1053361634 | Albuquerque Vamc | Clinic/Center | 3199 N White Sands Blvd, Suite D10 - White Sands Mall, Alamogordo, NM 88310-6162 | 2006-05-12 |
| 1518374594 | Albuquerque Vamc | Clinic/Center | 1353 Paseo Del Pueblo Sur, Taos, NM 87571-5801 | 2014-07-22 |
| 1740548494 | Albuquerque Vamc | Clinic/Center | 1760 Grande Blvd Se, Rio Rancho, NM 87124-1726 | 2012-05-01 |
| Street Address |
105 S CORONADO AVE |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665628 | Nm Va Health Care System | Clinic/Center | 3121 La Junta Rd Sw, Albuquerque, NM 87105-5643 | 2012-11-21 |
| 1053353102 | Albuquerque Vamc | Clinic/Center | 624 University Ave, Las Vegas, NM 87701-4278 | 2006-06-12 |
| 1699713156 | Albuquerque Vamc | Clinic/Center | 2950 Leslie Road, Silver City, NM 88061-7212 | 2006-06-04 |
| 1295773331 | Albuquerque Vamc | Clinic/Center | 5152 Beckner Road, Santa Fe, NM 87505-9998 | 2006-06-02 |
| 1407894546 | Albuquerque Vamc | Clinic/Center | 1493 Whittier Street, Raton, NM 87740-9998 | 2006-06-02 |
| 1477509172 | Albuquerque | Clinic/Center | 2075 Nm Hwy 602, Gallup, NM 87301-9998 | 2006-05-25 |
| 1972559730 | El Paso Vamc | Clinic/Center | 3401 Del Ray Blvd., Las Cruces, NM 88012-8041 | 2006-05-25 |
| 1437104882 | Big Spring Vamc | Clinic/Center | 1601 N Turner St, Broadmoor Tower, Hobbs, NM 88240-4331 | 2006-05-24 |
| 1770536641 | Albuquerque Vamc | Clinic/Center | 3605 English Road, Farmington, NM 87402-8303 | 2006-05-19 |
| 1043261472 | Albuquerque Vamc | Clinic/Center | 2410 W Main St, Artesia, NM 88210-3716 | 2006-05-12 |
| 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.