NPIMap

Organization Active NPI

Nmdoh PHD Breast and Cervical Cancer Early Detection Program

  • Public Health or Welfare Agency
  • Albuquerque, NM
National Provider Identifier
1407064926
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM
Practice address
5301 Central Ave NE
Suite 800
Albuquerque, NM 87108-1513
Phone
(505) 841-5837
Fax
(505) 222-8602
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barbara E. Hickok, RN, MPH
Title
Nmdoh PHD Chief Nurse
Phone
(505) 841-5890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

5301 Central Ave NE
Suite 800
Albuquerque, NM 87108-1513

Mailing address

5301 Central Ave NE
Suite 800
Albuquerque, NM 87108-1513
Phone (505) 841-5837

National Provider Directory

National Provider Directory
Tax ID family
Children's Medical Services43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

5301 Central Ave NE
Ste 800
Albuquerque, NM 87108
Phone (505) 841-5837

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407064926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 CENTRAL AVE NE",
            "address_2": "SUITE 800",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081513",
            "telephone_number": "505-841-5837",
            "fax_number": "505-222-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CENTRAL AVE NE",
            "address_2": "SUITE 800",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081513",
            "telephone_number": "505-841-5837",
            "fax_number": "505-222-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NMDOH PHD BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKOK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "NMDOH PHD CHIEF NURSE",
        "authorized_official_telephone_number": "505-841-5890",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "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 Aug 22, 2020; 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.