SOUTHWEST CARE CENTER NPI 1871602698

NPI Information

NPI: 1871602698
Provider Name: SOUTHWEST CARE CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 32D0912402

Address:
649 HARKLE RD STE E
SANTA FE, NM
ZIP 87505
Phone: (505) 955-9454
Get Directions

SOUTHWEST CARE CENTER is a multi-specialty clinic center in Santa Fe, NM. SOUTHWEST CARE CENTER NPI is 1871602698. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

649 HARKLE RD STE E
SANTA FE, NM
ZIP 87505-765
Phone: (505) 955-9454
Fax: (505) 216-9067

The provider's authorized official is Michael Adams .
The authorized official title is Ceo and has the following contact phone number (505) 989-8200.

The CLIA number assigned to this NPI record is 32D0912402 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/29/2006 and was last updated on 10/6/2022.

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
1	174400000X	Specialist		6596	NEW MEXICO	No
2	174400000X	Specialist				No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
4	261QM1300X	Clinic/Center	Multi-Specialty	6596	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K5766	MEDICAID	NEW 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

NPI Synchronization or Removal

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