NPI 1245995315 · live from the CMS NPI Registry
Baca Community Health
Clinic/Center, Primary Care in Albuquerque, NM. National Provider Identifier 1245995315, active.
NPI record
| NPI | 1245995315 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Primary Care 261QP2300X |
| Practice location | 2921 Carlisle Blvd Ne Ste 125, Albuquerque, NM 87110 |
| Practice phone | 505-573-2666 |
| Mailing address | 2921 Carlisle Blvd Ne Ste 119, Albuquerque, NM 87110 |
| Enumerated | November 3, 2021 |
| Last updated | October 10, 2024 |
| Authorized official | Lakeitha Burton, Revenue Cycle Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine, Emergency Medical Services | 207PE0004X | — |
| Clinic/Center, Primary Care primary | 261QP2300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.