RECOVERY SERVICES OF NEW MEXICO MDC (NPI# 1598015356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598015356 |
| Entity Type | Organization |
| Organization Name | RECOVERY SERVICES OF NEW MEXICO MDC |
| Other Organization Name | RECOVERY SERVICES OF NEW MEXICO MDC |
| Practice Address |
100 Deputy Dean Miera Dr Sw Albuquerque NM 87151-1000 |
| Mailing Address |
1528 Five Points Rd Sw Albuquerque NM 87105-3179 |
| Practice Telephone | 5058334491 |
| Practice Fax Number | 5058334492 |
| Mailing Telephone | 5052426919 |
| Mailing Fax Number | 5052426929 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | MRS. CYNTHIA HERNANDEZ (ASSISTANT DIRECTOR) |
| Authorized Official Telephone | 5052426919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
CS00214985 | NM | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Recovery Services of New Mexico MDC | Doing Business As Name - Organization |
| Street Address |
100 DEPUTY DEAN MIERA DR SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87151-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194023671 | Michelle Renee Lucero | Physician Assistant | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-0100 | 2011-03-07 |
| 1346719440 | Janice Alta Juan | Social Worker | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2018-11-19 |
| 1760951925 | James Andrew Cooper | Counselor | 100 Deputy Dean Miera Dr Sw, Albuquerque, NM 87151-1000 | 2018-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388496 | Anne E. Galanis | Nurse Practitioner | 100 Deputy Dean Miera Dr Sw: Bernalillo County Metropol, Albuquerque, NM 87151 | 2019-04-22 |
| 1780663534 | Robert Otto Krammer | Registered Nurse | 500 Shelly Rd., Albuquerque, NM 87151-0001 | 2006-01-11 |
| 1356332852 | Walter Kerry Viers | Registered Nurse | 500 Shelly Rd. S.w., Albuquerque, NM 87151-0001 | 2005-11-03 |
| 1447249644 | Kenneth Wayne Lovelett Jr. | Counselor | 2600 Marble, Albuquerque, NM 87151-0001 | 2005-10-19 |
| 1336120245 | Marian Margaret Mesojedic | Registered Nurse | 2600 Marble Ne, Albuquerque, NM 87151-0001 | 2005-11-08 |
| 1326029240 | Providence Musomandera Botne | Registered Nurse | 2600 Marble, Albuquerque, NM 87151-0001 | 2005-11-08 |
| 1629387261 | William Michael Shannon | Family Medicine | 100 John Dantis Dr, Albuquerque, NM 87151-0100 | 2010-09-30 |
| 1538140330 | Andrea Yvonne Sutphin | Registered Nurse | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2005-11-09 |
| 1275843781 | Jon-paul Hamilton | Psychiatry & Neurology | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2010-10-18 |
| 1154637767 | Correctional Healthcare Companies | Dentist | 100 John Dantis Rd Sw, Albuquerque, NM 87151-0100 | 2010-08-20 |
| Find all providers in zip 87151 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710512199 | Metro Treatment of New Mexico Lp | Clinic/Center | 9421 Coors Blvd Nw Ste J&k, Albuquerque, NM 87114-5025 | 2020-03-06 |
| 1447464664 | Unm Hospital | Clinic/Center | 2600 Marble Ave., N.e., Albuquerque, NM 87106-2058 | 2007-05-09 |
| 1700407277 | State of The Heart Recovery Inc. | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2020-05-06 |
| 1639479520 | University of New Mexico Hospitals Asap | Clinic/Center | 2450 Alamo Ave Se, Albuquerque, NM 87106-3204 | 2010-10-26 |
| 1962634329 | Recovery Services of New Mexico | Clinic/Center | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3014 | 2009-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689021735 | Taos Addiction Treatment Services | Clinic/Center | 1339 Paseo Del Pueblo Sur, Taos, NM 87571-5972 | 2016-05-18 |
| 1194104141 | Recovery Services of New Mexico | Clinic/Center | 1107 S Atkinson Ave, Roswell, NM 88203-7154 | 2015-05-22 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| 1609089408 | Una Ala Clinic, Inc | Clinic/Center | 104 Los Alamos Hwy, Espanola, NM 87532-2747 | 2007-05-08 |
| 1619273299 | Erneda Espinosa Romero | Clinic/Center | 2001 Chamisa St, Santa Fe, NM 87505-3441 | 2011-01-31 |
| City | ALBUQUERQUE |
| Zip Code | 87151 |
Please comment or provide details below to improve the information on RECOVERY SERVICES OF NEW MEXICO MDC.
| 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.