First Nations Community Healthsource Inc

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

FIRST NATIONS COMMUNITY HEALTHSOURCE INC

Practice address

625 Truman St NE
Albuquerque, NM 87110-6443

Phone

(505) 262-2481

Fax

(505) 262-0781

NPI assigned

Mar 29, 2013

Organization subpart

Yes

Parent organization

FIRST NATIONS COMMUNITY HEALTHSOURCEAs reported in NPPES

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

Authorized official

Name

Linda Son-Stone, CEO

Title

Ceo

Phone

(505) 262-2481

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Federally qualified health center certification: CCN 321962

Legal name

FIRST NATIONS COMMUNITY HEALTH SOURCE, INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 26, 2018

Last certification

Jun 26, 2018

Ownership / control type

For profit – corporation

Facility address

625 Truman Street NE
Albuquerque, NM 87110

Part of

First Nations Community Healthsource Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• First Nations Community Health Source, Inc.

  • Clinic/Center
  • Albuquerque, NM
  • NPI 1932199171

  Member Of

  NPD member

Locations

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.

• First Nations Community Healthsource

  • Case Management Agency
  • Albuquerque, NM
  • NPI 1821322280
  NPPES parent name

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1467795336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 ZUNI RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871082926",
            "telephone_number": "052-622-4815",
            "fax_number": "505-262-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 TRUMAN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106443",
            "telephone_number": "505-262-2481",
            "fax_number": "505-262-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST NATIONS COMMUNITY HEALTHSOURCE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST NATIONS COMMUNITY HEALTHSOURCE",
        "enumeration_date": "2013-03-29",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "SON-STONE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-262-2481",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00046912",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Nations Community Health Source, Inc.
• First Nations Community Health Source, Inc.
• First Nations Community Health Source, Inc.
• First Nations Community Healthsource
• First Nations Community Healthsource
• First Nations Community Healthsource Inc
• First Nations Community Healthsource Pharmacy
• First Nations Naca SBHC
• First Resort Interventions, LLC
• Firststeps Autism Evaluations, LLC

• Federally Qualified Health Center (FQHC) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Federally Qualified Health Center (FQHC) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.