Active NPI
Second Chance Center NM
- Primary Care Clinic/Center
- Albuquerque, NM
National Provider Identifier
1922273697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SECOND CHANCE CENTER NM
- Practice address
- 7440 Jim McDowell Road
Albuquerque, NM 87121 - Phone
- (505) 836-4025
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rick Pendry
- Title
- Manager
- Phone
- (505) 991-6961
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
7440 Jim McDowell Road
Albuquerque, NM 87121
Mailing address
1497 Main St # 302
Dunedin, FL 34698-4612
Phone (727) 784-1084
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1922273697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1497 MAIN ST # 302",
"city": "DUNEDIN",
"state": "FL",
"postal_code": "346984612",
"telephone_number": "727-784-1084",
"fax_number": "727-784-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7440 JIM MCDOWELL ROAD",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87121",
"telephone_number": "505-836-4025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND CHANCE CENTER NM",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "PENDRY",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "505-991-6961",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.