Compcare New Mexico Inc.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

R25973 Issued in NM

Legal business name

COMPCARE NEW MEXICO INC.

Practice address

706 La Joya St Ste C
Espanola, NM 87532-2877

Phone

(505) 367-3547

NPI assigned

Oct 15, 2009

Last updated

Oct 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Gurule

Title

Credentialing Specialist

Phone

(505) 367-3547

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1033444658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LA JOYA ST STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322877",
            "telephone_number": "505-367-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LA JOYA ST STE C",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322877",
            "telephone_number": "505-367-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPCARE NEW MEXICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "GURULE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "505-367-3547"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": "R25973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lena Chila, LMHC
• Kathy Christianson, D.O.M., L.AC, LMT
• William Clapp, LPCC
• Allie Clark, PT, DPT
• Larry L Cohen, MD
• Concentra Medical Center-Santa Fe Espanola
• Julia Concha, LCSW
• Karen G Connaughton, MD
• Jack Andrew Copeland, MD
• Amanda T Coriz, CSW

• Urgent Care Clinic/Center in Espanola, NM
• Providers in Espanola, NM by specialty
• Urgent Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.