Goodwill Industries of N.M.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODWILL INDUSTRIES OF N.M.

Practice address

5000 San Mateo Blvd NE
Albuquerque, NM 87109-2426

Phone

(505) 881-6401

Fax

(505) 884-3157

NPI assigned

Jan 16, 2007

Last updated

Aug 22, 2020By 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

Lois M. Marek

Title

Administrative Coordinator

Phone

(505) 881-6401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780735639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092426",
            "telephone_number": "505-881-6401",
            "fax_number": "505-884-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092426",
            "telephone_number": "505-881-6401",
            "fax_number": "505-884-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF N.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATIVE COORDINATOR",
        "authorized_official_telephone_number": "505-881-6401"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0471",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goodrow Family & Youth Institute
• Goodside Health Medical, PLLC
• Roberta Ann Goodson
• Jessica Goodstein, AUDIOLOGIST
• Matthew Ian Goodstein, D.O
• Boyd Harrison Goodwin, M.D.
• Caitlin Goodwin
• Halima Josina Goodwin, DNP, CPNP-PC, PMHNP
• Julian Goodwin
• Tre Goodwin

• Case Management Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Case Management Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.