Albuquerque ER LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ALBUQUERQUE ER LLC

Doing business as

Albuquerque ER & Medical Hospital

Practice address

9310 Coors Blvd NW
Albuquerque, NM 87114-4006

Phone

(713) 660-0555

NPI assigned

Oct 26, 2018

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Vo, MD

Title

Manager

Phone

(713) 660-0557

Specialties & licenses 1

Addresses

Other names 1

• Albuquerque ER & Medical Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558838607. Details of each certification follow.

• CCN 320092 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 320092

Legal name

ALBUQUERQUE ER & HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Jun 18, 2021

Provider type (POS)

Hospital – Short-term

Participating since

Jun 17, 2021

Last certification

Jun 17, 2021

Beds

11

Ownership / control type

Physician ownership

Facility address

9310 Coors Blvd NW
Albuquerque, NM 87114

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Derek James Detemple, DO

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1992788095
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1558838607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S RICE AVE STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812944",
            "telephone_number": "713-660-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 COORS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144006",
            "telephone_number": "713-660-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE ER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-660-0557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albuquerque ER & Medical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Albuquerque ER & Medical Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albuquerque East Smiles Youth Dentistry, PC
• Albuquerque Emergency Dental Care USA, Inc
• Albuquerque Emergency Group LLC
• Albuquerque Emergency Group, LLC
• Albuquerque Emotional Wellness
• Albuquerque Eye Prosthetics Inc
• Albuquerque Family and Sports Medicine
• Albuquerque Family Counseling
• Albuquerque Family Counseling
• Albuquerque Foot & Ankle, Inc.

• General Acute Care Hospital in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Acute Care Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.