Active NPI
Recovery Services of New Mexico, LLC
Doing business as MedMark Treatment Centers Five Points
- Methadone Clinic
- Albuquerque, NM
National Provider Identifier
1962634329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- RECOVERY SERVICES OF NEW MEXICO, LLC
- Doing business as
- MedMark Treatment Centers Five Points
- Practice address
- 1528 Five Points Rd SW
Albuquerque, NM 87105-3014 - Phone
- (505) 242-6919
- Fax
- (505) 242-6929
- NPI assigned
- Aug 19, 2009
- Last updated
- Jul 29, 2024
- 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
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary |
Addresses
Primary practice location
1528 Five Points Rd SW
Albuquerque, NM 87105-3014
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32D2076684 | Other | NM | CLIA |
| 677558 | Medicaid | NM | |
| 25392 | Other | NM | COLA |
Other names 1
- MedMark Treatment Centers Five Points
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 32D2094255 | Recovery Services of New Mexico, LLC | Certificate of waiver | Apr 13, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1295269595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1962634329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "214-379-3300",
"fax_number": "214-853-9018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 FIVE POINTS RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871053014",
"telephone_number": "505-242-6919",
"fax_number": "505-242-6929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY SERVICES OF NEW MEXICO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-19",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "VP, TREASURER",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "32D2076684",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "677558",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLA",
"identifier": "25392",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MedMark Treatment Centers Five Points",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
- Recovery House LLC
- Recovery Resources LTD.
- Recovery Services of New Mexico MDC, LLC (MedMark Treatment Centers NM MDC)
- Recovery Services of New Mexico, LLC (BayMark Health Laboratory Services)
- Recovery Services of New Mexico, LLC (MedMark Treatment Centers Isleta)
- Recovery Services of Southern New Mexico LLC
- Red Lotus Counseling
- Red Lotus Counseling
- Red Root Acupuncture & Herbs
- Kristen Red-Horse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.