NPIMap

Organization Active NPI

Southwest Care Center

Doing business as Southwest CARE Center Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Santa Fe, NM
National Provider Identifier
1295109072
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHWEST CARE CENTER
Doing business as
Southwest CARE Center Family Medicine
Practice address
1691 Galisteo St Ste D
Santa Fe, NM 87505-4781
Phone
(505) 954-1921
Fax
(505) 983-6520
NPI assigned
Nov 17, 2015
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Michael Adams
Title
Ceo
Phone
(505) 989-8200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X 1300117376 NM

Addresses

Primary practice location

1691 Galisteo St Ste D
Santa Fe, NM 87505-4781

Mailing address

PO Box 6880
Santa Fe, NM 87502-6880
Phone (505) 395-2288

Other identifiers 1

IdentifierTypeStateIssuer
1295109072OtherNMNPI

Other names 1

  • Southwest CARE Center Family Medicine Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180508000153 NM Part A Provider - Federally Qualified Health Center (FQHC) 8921043035 1 other NPI on this enrollment
Practice locations: Santa Fe, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295109072. Details of each certification follow.

Federally qualified health center certification: CCN 321959

Legal name
SOUTHWEST CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 8, 2018
Last certification
May 8, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 24, 1990 in NM
Enrollment address
1691 Galisteo St
Ste D
Santa Fe, NM 87505-4781

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Southwest C a R E Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

901 W Alameda St
Ste 25
Santa Fe, NM 87501
Phone (505) 988-8869

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael S Adams Individual 5% Or Greater Direct Ownership InterestCeo Feb 1, 2021 100%
Corporate OfficerCeo Feb 1, 2021 100%
W-2 Managing EmployeeCeo Feb 1, 2021 100%
Operational/Managerial ControlCeo Feb 1, 2021 100%
Southwest Care Center Organization, Santa Fe, NM Non-profit Operational/Managerial Control Jan 31, 2013 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southwest Care CenterSanta Fe, NM, CCN 321960 Federally qualified health center 5% Or Greater Direct Ownership Interest (50%)
Operational/Managerial Control (50%)		 Apr 1, 2020
Feb 1, 2021
Southwest Care CenterSanta Fe, NM, CCN 321961 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Southwest Care Center
    • Federally Qualified Health Center (FQHC)
    • Santa Fe, NM
    • NPI 1871602698

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1295109072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6880",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875026880",
            "telephone_number": "505-395-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 GALISTEO ST STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054781",
            "telephone_number": "505-954-1921",
            "fax_number": "505-983-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-989-8200"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NM",
            "license": "1300117376",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295109072",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest CARE Center Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southwest CARE Center Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.