Organization Active NPI

Sandia Health Center

  • Health Service Clinic/Center
  • Bernalillo, NM
National Provider Identifier
1063573509
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SANDIA HEALTH CENTER
Practice address
481 Sandia Loop
Bernalillo, NM 87004-7076
Phone
(505) 867-4487
Fax
(505) 771-5126
NPI assigned
Dec 12, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBUQUERQUE INDIAN HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Maria Rickert
Title
Ceo
Phone
(505) 248-4062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

481 Sandia Loop
Bernalillo, NM 87004-7076

Mailing address

801 Vassar Dr NE
Albuquerque, NM 87106-2725
Phone (505) 248-7711

Other identifiers 2

IdentifierTypeStateIssuer
HSZ164OtherNMGROUP
H7890MedicaidNM

National Provider Directory

National Provider Directory
Part of
Albuquerque Indian Health Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1063573509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 VASSAR DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062725",
            "telephone_number": "505-248-7711",
            "fax_number": "505-248-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SANDIA LOOP",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870047076",
            "telephone_number": "505-867-4487",
            "fax_number": "505-771-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBUQUERQUE INDIAN HEALTH CENTER",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "RICKERT",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-248-4062"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "HSZ164",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H7890",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.