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ALBUQUERQUE HEALTH CARE FOR THE HOMELESS INC. NPI 1144315615


NPI Information

NPI: 1144315615
Provider Name: ALBUQUERQUE HEALTH CARE FOR THE HOMELESS, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 32D0534711

Address:
1217 FIRST ST. NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 766-5197
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ALBUQUERQUE HEALTH CARE FOR THE HOMELESS, INC. is a federally qualified health center (fqhc) clinic center in Albuquerque, NM. ALBUQUERQUE HEALTH CARE FOR THE HOMELESS, INC. NPI is 1144315615. The provider is registered as an organization entity type.

The provider's business location address is:

1217 FIRST ST. NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 766-5197
Fax: (505) 766-6945

The provider's authorized official is Jennifer Metzler .
The authorized official title is Executive Director and has the following contact phone number (505) 766-5197.

The CLIA number assigned to this NPI record is 32D0534711 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/3/2006 and was last updated on 1/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
33336C0002XPharmacyClinic PharmacyCL00007301NEW MEXICONo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6783NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145385MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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