Active NPI
Welscare of New Mexico LLC
- Multi-Specialty Clinic/Center
- Albuquerque, NM
National Provider Identifier
1083483895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.