NPIMap

Organization Active NPI

New Mexico VA Healthcare System

  • VA Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1467682237
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
R27976 Issued in NM
Legal business name
NEW MEXICO VA HEALTHCARE SYSTEM
Practice address
1501 San Pedro Dr SE
Ambulatory Care (115)
Albuquerque, NM 87108-5153
Phone
(505) 265-1711
Fax
(505) 256-2888
NPI assigned
Jul 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Martin Schimmel, M.D.
Title
Chief of Ambulatory Care
Phone
(505) 265-1711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X R27976 NM Primary

Addresses

Primary practice location

1501 San Pedro Dr SE
Ambulatory Care (115)
Albuquerque, NM 87108-5153

Mailing address

1111 Cardenas Dr SE
Apt 313
Albuquerque, NM 87108-4736
Phone (575) 313-0916

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Locations

1501 San Pedro Dr SE
#115
Albuquerque, NM 87108

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1467682237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CARDENAS DR SE",
            "address_2": "APT 313",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084736",
            "telephone_number": "575-313-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "address_2": "AMBULATORY CARE (115)",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711",
            "fax_number": "505-256-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO VA HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "SCHIMMEL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF OF AMBULATORY CARE",
        "authorized_official_telephone_number": "505-265-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "NM",
            "license": "R27976",
            "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 Jul 15, 2009; 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.