NPIMap

Organization Active NPI

Unm Hospital

Doing business as UNMH Outpatient Pediatric Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1699804807
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
6005 Issued in NM
Legal business name
UNM HOSPITAL
Doing business as
UNMH Outpatient Pediatric Dialysis Unit
Practice address
2211 Lomas Blvd., NE
Albuquerque, NM 87106-2745
Phone
(505) 272-8991
Fax
(505) 272-2531
NPI assigned
Mar 5, 2007
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
UNM HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Bonnie White
Title
Chief Financial Officer
Phone
(505) 272-1840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 6005 NM Primary

Addresses

Primary practice location

2211 Lomas Blvd., NE
Albuquerque, NM 87106-2745

Mailing address

400 Tijeras Ave NW Ste 450
Albuquerque, NM 87102-3273
Phone (505) 272-4013

Other identifiers 1

IdentifierTypeStateIssuer
25082779MedicaidNM

Other names 1

  • UNMH Outpatient Pediatric Dialysis Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000088 NM Part A Provider - End-Stage Renal Disease Facility (ESRD) 7618889528 Practice locations: Albuquerque, NM

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Unm Hospital

    dba University Hospital Outpatient Pharmacy

    • Managed Care Organization Pharmacy
    • Albuquerque, NM
    • NPI 1134165681

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNMH Psychiatric Unit

    • Psychiatric Hospital Unit
    • Albuquerque, NM
    • NPI 1447464664

    7618889528

    Same PAC ID
  • Unm Hospital

    dba Cancer Center Pharmacy

    • Specialty Pharmacy
    • Albuquerque, NM
    • NPI 1497170252

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNM Hospital - Hospice Program

    • Inpatient Hospice
    • Albuquerque, NM
    • NPI 1528193190

    7618889528

    Same PAC ID
  • Unm Hospital
    • General Acute Care Hospital
    • Albuquerque, NM
    • NPI 1689747552

    7618889528

    Same PAC ID
  • Unm Hospital

    dba UNMH Home Care

    • Home Health Agency
    • Albuquerque, NM
    • NPI 1902350697

    7618889528

    Same PAC ID

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
322310 Unm Pediatric DialysisCCN 322310
Ownership
Non-profit
Certified
Jan 31, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
4

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
University of NM Hospit28 organizations share this tax ID, including this one
Part of
University of NM Hospit

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unm HospitalAlbuquerque, NM, CCN 320001 Hospital Other Jan 1, 2022
Unmh Psychiatric HospitalAlbuquerque, NM, CCN 32S001 Hospital Other Jan 1, 2022
University Home Care HospiceAlbuquerque, NM, CCN 321511 Hospice Other Aug 1, 2022

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1699804807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TIJERAS AVE NW STE 450",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023273",
            "telephone_number": "505-272-4013",
            "fax_number": "505-272-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS BLVD., NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062745",
            "telephone_number": "505-272-8991",
            "fax_number": "505-272-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNM HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNM HOSPITAL",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-272-1840"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NM",
            "license": "6005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25082779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNMH Outpatient Pediatric Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNMH Outpatient Pediatric Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.