Recovery Services of New Mexico MDC, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

CS00214985 Issued in NM

Legal business name

RECOVERY SERVICES OF NEW MEXICO MDC, LLC

Doing business as

MedMark Treatment Centers NM MDC
Recovery Services of New Mexico MDC

Practice address

100 Deputy Dean Miera Dr SW
Albuquerque, NM 87151-1000

Phone

(505) 833-4491

Fax

(505) 833-4492

NPI assigned

Sep 19, 2012

Last updated

Jul 29, 2024By 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

Bruce Jarvie

Title

VP, Treasurer

Phone

(214) 379-3300

Specialties & licenses 1

Addresses

Other names 2

• MedMark Treatment Centers NM MDC Doing business as
• Recovery Services of New Mexico MDC Doing business as

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1598015356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEPUTY DEAN MIERA DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871511000",
            "telephone_number": "505-833-4491",
            "fax_number": "505-833-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY SERVICES OF NEW MEXICO MDC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NM",
            "license": "CS00214985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedMark Treatment Centers NM MDC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Services of New Mexico MDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Recoverings Solutions Nutrition & Counseling LLC
• Recovery Based Solutions, LLC
• Recovery Connections, LLC
• Recovery House LLC
• Recovery Resources LTD.
• Recovery Services of New Mexico, LLC (BayMark Health Laboratory Services)
• Recovery Services of New Mexico, LLC (MedMark Treatment Centers Isleta)
• Recovery Services of New Mexico, LLC (MedMark Treatment Centers Five Points)
• Recovery Services of Southern New Mexico LLC
• Red Lotus Counseling

• Methadone Clinic in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Methadone Clinic in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.