BERNALILLO COUNTY YOUTH SERVICES CENTER NPI 1740592054

NPI Information

  • NPI: 1740592054
  • Provider Name: BERNALILLO COUNTY YOUTH SERVICES CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 32D0689349
  • Address: 5100 2ND ST NW
    ALBUQUERQUE, NM
    ZIP 87107
  • Phone: (505) 468-7236

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NPI Details

BERNALILLO COUNTY YOUTH SERVICES CENTER is a family medicine in Albuquerque, NM. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BERNALILLO COUNTY YOUTH SERVICES CENTER NPI is 1740592054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5100 2ND ST NW
ALBUQUERQUE, NM
ZIP 87107-009
Phone: (505) 468-7236

The provider's authorized official is Thomas E. Swisstack .
The authorized official title is Director and has the following contact phone number (505) 468-7122.

The CLIA number assigned to this NPI record is 32D0689349 - ambulance with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/2/2010 and was last updated on 7/2/2010.

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
1363A00000XPhysician Assistant97PA03NEW MEXICONo
2207Q00000XFamily Medicine9628NEW MEXICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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