NPIMap

Organization Active NPI

Carlsbad Family Health Center

  • Non-Pharmacy Dispensing Site
  • Carlsbad, NM
National Provider Identifier
1295892628
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
CL00007332 Issued in NM
Legal business name
CARLSBAD FAMILY HEALTH CENTER
Practice address
2013 San Jose Blvd
Carlsbad, NM 88220-5426
Phone
(505) 887-2455
Fax
(505) 234-2945
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Authorized official

Name
Doug Smith
Title
Executive Vice President
Phone
(505) 982-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X CL00007332 NM Primary

Addresses

Primary practice location

2013 San Jose Blvd
Carlsbad, NM 88220-5426

Mailing address

PO Box 2267
Santa Fe, NM 87504-2267

Other identifiers 3

IdentifierTypeStateIssuer
321820MedicaidNM
3209649OtherOTHER ID NUMBER-COMMERCIAL NUMBER
50419MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
PMS Questa Health Cente70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1295892628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 SAN JOSE BLVD",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205426",
            "telephone_number": "505-887-2455",
            "fax_number": "505-234-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSBAD FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "505-982-5565"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NM",
            "license": "CL00007332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321820",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3209649",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50419",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2021; 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.