Tricore Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRICORE INC.

Practice address

1001 Woodward PL NE
Albuquerque, NM 87102-2705

Phone

(505) 938-8888

Fax

(505) 938-8833

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Ella Watt

Title

Chief Financial Officer

Phone

(505) 573-4288

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolina Ponce Orellana, M.D.

  • Cardiovascular Disease Physician
  • Albuquerque, NM
  • NPI 1366754889
  NPD (past)
• Danielle Marie Ruiz, CNP

  • Acute Care Nurse Practitioner
  • Las Cruces, NM
  • NPI 1235636820
  NPD (past)
• William G Morice II, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rochester, MN
  • NPI 1275512691
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1841962289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022705",
            "telephone_number": "505-938-8888",
            "fax_number": "505-938-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022705",
            "telephone_number": "505-938-8888",
            "fax_number": "505-938-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICORE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-573-4288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Dental, LLC
• Tri Peak Behavioral Health LLC
• Hillary Sue Triana, FNP
• Tribal Audiology
• Mary Trice
• Tricore Reference Laboratories
• Trifecta Light Center LLC
• Bruce Trigg, MD
• Paulina Trillo- Zamarripa
• Tracey Trimble, LMSW, LCSW

• Clinical Medical Laboratory in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.