NPIMap

Organization Active NPI

Justice Access Support and Solutions for Health

Doing business as Casa de Salud

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1376823625
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
NONE Issued in NM
Legal business name
JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH
Doing business as
Casa de Salud
Practice address
1608 Isleta Blvd SW
Albuquerque, NM 87105-4634
Phone
(505) 907-8311
Fax
(505) 288-3561
NPI assigned
Aug 18, 2011
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Elizabeth Boyce
Title
Director of Operations
Phone
(505) 417-2362

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X NONE NM Primary

Addresses

Primary practice location

1608 Isleta Blvd SW
Albuquerque, NM 87105-4634

Mailing address

1608 Isleta Blvd SW
Albuquerque, NM 87105-4634
Phone (505) 907-8311

Other identifiers 1

IdentifierTypeStateIssuer
96001224MedicaidNM

Other names 1

  • Casa de Salud Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1376823625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054634",
            "telephone_number": "505-907-8311",
            "fax_number": "505-288-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054634",
            "telephone_number": "505-907-8311",
            "fax_number": "505-288-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "BOYCE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-417-2362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96001224",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de Salud",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Casa de Salud",
            "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 Aug 14, 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.