First Choice Community Healthcare, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Edgewood, NM
NPI 1962663153 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1962663153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- FIRST CHOICE COMMUNITY HEALTHCARE, INC.
- Practice address
- 7 Municipal Way
Edgewood, NM 87015-7086 - Phone
- (505) 281-3406
- Fax
- (505) 224-8737
- NPI assigned
- Jun 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeremiah Dye, DDS
- Title
- Ceo
- Phone
- (505) 873-7401
Owners & managing parties with NPI records 1
-
Jeremiah M Dye, DDS
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 6
Related certifications (CCN) 1
Practitioners 56
-
Gloria Dixon, NURSE PRACTITIONER
-
Alison Lynn Mattias, PHYSICIAN ASSISTANT
-
Dana Allsop, CNP
-
Felicia Elena Aragon, PA-C
-
Luisana Baldonado, LCSW
-
Jesse Barnes, M.D.
-
Keith Emory Basham, PHYSICIAN ASSISTANT
-
Benjamin Buxton, MD
-
Amity Calvin, MD
-
Eva Rose Asaan Carrillo, CNM, FNP-C
-
Lindsay Sue Cerrone, FNP-C
-
Nathan Duane Cogburn, FNP
-
Sherrill C Dodson, FNP-BC
-
Alycia Gallegos, FNP
-
Alyson C Haeger-Newe, CNM, FNP
-
Scott Ryan Jeansonne, D.O.
-
Audrey Jessup, CNM
-
Silvia Juarez, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM
Federally qualified health center certification: CCN 321892
- Legal name
- FIRST CHOICE COMMUNITY HEALTHCARE, INC.
- Doing business as
- FIRST CHOICE COMMUNITY HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Mar 14, 2003
- Last certification
- Mar 14, 2003
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 6, 1976 in NM
- Enrollment address
- 7 Municipal Way
Edgewood, NM 87015-2980 - Related CCNs
- 321813
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Saverio J Sava |
Corporate Director | Feb 25, 2026 | |
| Shawna Gonzales |
Corporate Officer |
Jun 5, 2023 | |
| W-2 Managing Employee | Jun 5, 2023 | ||
| Lanny Leyba |
Corporate Director |
Dec 24, 2024 | |
| Tammy Collins |
Corporate Officer | Feb 25, 2026 | |
| W-2 Managing Employee |
Feb 25, 2026 | ||
| Patricia Geneva West |
Corporate Director | Feb 19, 2001 | |
| Valerie Roth |
Corporate Director |
Dec 24, 2024 | |
| Kevin Fowler |
Corporate Director | Feb 25, 2026 | |
| Vicki Voyles |
Corporate Director |
Dec 24, 2024 | |
| Nicole Castillo |
Corporate Director |
Dec 24, 2024 | |
| Kathi Ritchey |
Corporate Director | Feb 25, 2026 | |
| Jeramiah Dye |
Corporate Officer |
Aug 5, 2009 | |
| W-2 Managing Employee |
Aug 5, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030210000019 | NM | Part a Provider - Federally Qualified Health Center (FQHC) | 7315854049 | Practice locations: Edgewood, NM |
| O20040121001003 | NM | Part B Supplier - Clinic/Group Practice | 7315854049 |
Receives reassigned benefits from 72 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albuquerque, NM; Edgewood, NM; Belen, NM |
National Provider Directory
Locations
1401 William St SE
Albuquerque, NM 87102
Phone (505) 768-5450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
7 Municipal Way
Edgewood, NM 87015-7086
Mailing address
PO Box 27561
Medical Dept#31116 & Dental Dept#31117
Albuquerque, NM 87125-7561
Phone (505) 241-5182
Other providers in Edgewood, NM
- Edgewood Pediatric Clinic L.L.C.
- Amber Eichstedt
- Tracey L Erickson
- Colleen Eungard
- Laci Fachini
- Fowler Enterprises, Inc.
- Debra Danielle Fromer
- Deborah Joan Fuller
- Elisabeth Leilani Galanis
- Devin Michelle Garcia
All providers in Edgewood, 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 Dec 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.