NPIMap

Organization Active NPI

FNCH SBHC Grant Location

  • Federally Qualified Health Center (FQHC)
  • Albuquerque, NM
National Provider Identifier
1396277497
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
FNCH SBHC GRANT LOCATION
Practice address
1111 Easterday Dr NE
Albuquerque, NM 87112-5115
Phone
(505) 262-2481
Fax
(505) 265-7045
NPI assigned
Mar 29, 2017
Organization subpart
Yes
Parent organization
FIRST NATIONS COMMUNITY HEALTH SOURCEAs 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
Mrs. Linda Son Stone
Title
Chief Executive Officer
Phone
(505) 262-6588

Specialties & licenses 1

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

Addresses

Primary practice location

1111 Easterday Dr NE
Albuquerque, NM 87112-5115

Mailing address

PO Box 82610
Albuquerque, NM 87198-2610
Phone (505) 262-6588

National Provider Directory

National Provider Directory
Tax ID family
First Nations Community Healthsource Inc13 organizations share this tax ID, including this one
Part of
First Nations Community Healthsource Inc

Other organizations with this tax ID 12

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFAEBA

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": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1396277497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82610",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871982610",
            "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": "1111 EASTERDAY DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125115",
            "telephone_number": "505-262-2481",
            "fax_number": "505-265-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FNCH SBHC GRANT LOCATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST NATIONS COMMUNITY HEALTH SOURCE",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SON STONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "505-262-6588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.