Active NPI
Health Services, LLC
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1588042329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTH SERVICES, LLC
- Practice address
- 110 2ND St SW Ste 605
Albuquerque, NM 87102 - Phone
- (505) 459-3030
- NPI assigned
- May 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Dill
- Title
- Receiver
- Phone
- (505) 459-3030
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Psychiatry Physician | 2084P0800X | |||
| General Practice Physician | 208D00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
110 2ND St SW Ste 605
Albuquerque, NM 87102
Mailing address
PO Box 7855
Albuquerque, NM 87194-7855
Phone (505) 459-3030
Other practice location 1
8005 Marble Ave NE
Albuquerque, NM 87110-7901
Phone (505) 200-0667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57804575 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
8005 Marble Ave NE
Albuquerque, NM 87110
Phone (505) 200-0667
110 2nd St SW
Ste 605
Albuquerque, NM 87102
Phone (505) 459-3030
8010 Mountain Rd NE
Ste 100
Albuquerque, NM 87110
Phone (505) 265-4699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549411200000",
"number": "1588042329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7855",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871947855",
"telephone_number": "505-459-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST SW STE 605",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-459-3030"
}
],
"practiceLocations": [
{
"address_1": "8005 Marble Ave NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871107901",
"country_code": "US",
"telephone_number": "505-200-0667",
"fax_number": "505-255-1813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-13",
"last_updated": "2019-02-06",
"status": "A",
"authorized_official_last_name": "DILL",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "RECEIVER",
"authorized_official_telephone_number": "505-459-3030"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57804575",
"state": "NM"
}
],
"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 Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.