NPIMap

Organization Active NPI

G & M Medical Center

  • Urgent Care Clinic/Center
  • Rio Rancho, NM
National Provider Identifier
1144966136
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
G & M MEDICAL CENTER
Practice address
1316 Jackie Rd SE Ste 400
Rio Rancho, NM 87124-1045
Phone
(505) 415-0719
Fax
(505) 372-0093
NPI assigned
May 11, 2022
Organization subpart
Yes
Parent organization
G & M MEDICAL CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Ronald M Edwards, FNP-BC AGACNPNPI 1790200392
Title
Owner/Provider
Phone
(505) 415-0719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1316 Jackie Rd SE Ste 400
Rio Rancho, NM 87124-1045

Mailing address

1316 Jackie Rd SE Ste 500
Rio Rancho, NM 87124-6607
Phone (505) 415-0719

Other identifiers 1

IdentifierTypeStateIssuer
66754852MedicaidNM

Other names 1

  • G & M Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221108000013 NM Part B Supplier - Clinic/Group Practice 7012384852 Receives reassigned benefits from 7 practitioners
Practice locations: Bernalillo, NM; Rio Rancho, NM

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2273005G & M Urgent Care1316 Jackie Road Suite 400, Rio Rancho, NM 87124Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory
Part of
G M Medical Center LLC

Locations

510 Highway 528
Ste C
Bernalillo, NM 87004
Phone (505) 591-9511

1316 Jackie Rd SE
Ste 500
Rio Rancho, NM 87124
Phone (505) 415-0719

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.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1144966136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 500",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246607",
            "telephone_number": "505-415-0719",
            "fax_number": "505-372-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 400",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241045",
            "telephone_number": "505-415-0719",
            "fax_number": "505-372-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G & M MEDICAL CENTER LLC",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "505-415-0719",
        "authorized_official_credential": "FNP-BC AGACNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66754852",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G & M Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.