BACA COMMUNITY HEALTH NPI 1245995315

NPI Information

  • NPI: 1245995315
  • Provider Name: BACA COMMUNITY HEALTH
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 32D2238566
  • Address: 2921 CARLISLE BLVD NE STE 125
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 573-2666

Map and Directions

Get Directions

NPI Details

BACA COMMUNITY HEALTH is a primary care clinic center in Albuquerque, NM. BACA COMMUNITY HEALTH NPI is 1245995315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM
ZIP 87110-865
Phone: (505) 573-2666

The provider's authorized official is Lakeitha C Burton .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (719) 491-8173.

The CLIA number assigned to this NPI record is 32D2238566 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2021 and was last updated on 10/10/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI