NPIMap

Organization Active NPI

New Mexico Department of Health

  • Customized Equipment (DME)
  • Albuquerque, NM
National Provider Identifier
1194886499
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
NEW MEXICO DEPARTMENT OF HEALTH
Doing business as
Specialty Seating Clinic
Practice address
7905 Marble Ave NE
Albuquerque, NM 87110-7886
Phone
(505) 222-0900
Fax
(505) 222-0933
NPI assigned
Dec 12, 2006
Organization subpart
Yes
Parent organization
STATE OF NEW MEXICO, DOH, DDSD, ASBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Authorized official

Name
Scott Gifford
Title
Line II Manager
Phone
(505) 232-5712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

7905 Marble Ave NE
Albuquerque, NM 87110-7886

Mailing address

7905 Marble Ave NE
Albuquerque, NM 87110-7886
Phone (505) 232-5712

Other identifiers 1

IdentifierTypeStateIssuer
000D1977MedicaidNM

Other names 1

  • Specialty Seating Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scientific Laboratory Division Nmdoh43 organizations share this tax ID, including this one
Part of
Scientific Laboratory Division Nmdoh

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

1000 Main St NW
Los Lunas, NM 87031
Phone (323) 216-6576

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": "1522800000000",
    "number": "1194886499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7905 MARBLE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107886",
            "telephone_number": "505-232-5712",
            "fax_number": "505-222-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 MARBLE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107886",
            "telephone_number": "505-222-0900",
            "fax_number": "505-222-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW MEXICO, DOH, DDSD, ASB",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "LINE II MANAGER",
        "authorized_official_telephone_number": "505-232-5712"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D1977",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Seating Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 4, 2018; 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.