Organization Active NPI

Welscare of New Mexico LLC

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1083483895
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WELSCARE OF NEW MEXICO LLC
Practice address
4700 Jefferson St NE Ste 800
Albuquerque, NM 87109-2132
Phone
(801) 869-4100
Fax
(801) 869-4119
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Christina Pike
Title
Admin
Phone
(208) 982-6734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4700 Jefferson St NE Ste 800
Albuquerque, NM 87109-2132

Mailing address

1250 E 3900 S Ste 440
Salt Lake City, UT 84124-1349
Phone (801) 869-4100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1083483895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 440",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241349",
            "telephone_number": "801-869-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON ST NE STE 800",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092132",
            "telephone_number": "801-869-4100",
            "fax_number": "801-869-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELSCARE OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "208-982-6734"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.