Bernalillo Spartan Wellness Center
Organization Active NPI Federally Qualified Health Center (FQHC) · Bernalillo, NM
NPI 1861607400 · NPPES record last updated Feb 11, 2016
Key facts
- NPI
- 1861607400
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BERNALILLO SPARTAN WELLNESS CENTER
- Practice address
- 148 Spartan Aly
Bernalillo, NM 87004-6298 - Phone
- (505) 426-2262
- Fax
- (505) 454-1473
- NPI assigned
- May 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. James Adrian Abreu
- Title
- Executive Director
- Phone
- (505) 454-3523
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Northeast Regional Education Cooperative
Locations
148 Spartan Aly
Bernalillo, NM 87004
Phone (505) 404-5237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
148 Spartan Aly
Bernalillo, NM 87004-6298
Mailing address
P.O. Box 927
Las Vegas, NM 87701
Phone (505) 426-2262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H8226 | Medicaid | NM |
Other providers in Bernalillo, NM
- Robert B. Bell
- Bernalillo Public Schools
- Bernalillo Public Schools
- Bernalillo Public Schools
- Bernalillo Public Schools (BPS)
- Randall S Berner
- Better Healing
- Monique Umlas Betz
- Madisen Bihn-Adams
- Mary Webster Birch
All providers in Bernalillo, NM · Federally Qualified Health Center (FQHC) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.