NPIMap

Organization Active NPI

First Nations Community Health Source, Inc.

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
National Provider Identifier
1235698937
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.
Practice address
7317 Central Ave NE
Albuquerque, NM 87108-2015
Phone
(505) 262-2481
NPI assigned
Mar 13, 2019
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Linda Stone
Title
Ceo
Phone
(505) 262-6546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

7317 Central Ave NE
Albuquerque, NM 87108-2015

Mailing address

5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone (505) 262-6588

Other identifiers 1

IdentifierTypeStateIssuer
00046912MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
First Nations Community Healthsource Inc14 organizations share this tax ID, including this one
Part of
First Nations Community Healthsource Inc

Other organizations with this tax ID 13

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

View all 13

Locations

5608 Zuni Rd SE
Albuquerque, NM 87108
Phone (505) 262-6523

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": "1552435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1235698937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082926",
            "telephone_number": "505-262-6588",
            "fax_number": "505-265-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 CENTRAL AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082015",
            "telephone_number": "505-262-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST NATIONS COMMUNITY HEALTH SOURCE, INC.",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-262-6546"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00046912",
            "state": "NM"
        }
    ],
    "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 Oct 8, 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.