| Medmark Treatment Centers Isleta | |
|
901 3rd St Nw Albuquerque NM 87102-2235 | |
| (505) 717-2397 | |
| Not Available |
| Full Name | Medmark Treatment Centers Isleta |
|---|---|
| Speciality | Family Medicine |
| Location | 901 3rd St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medmark Treatment Centers Isleta 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (214) 379-3300 | Medmark Treatment Centers Isleta 901 3rd St Nw Albuquerque NM 87102-2235 Ph: (505) 717-2397 |
| NPI Number | 1861848632 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1951665496 |
|---|---|
| Medicare Enrollment ID | O20180508002658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861848632 | NPI | - | NPPES |
| Provider Name | Sergio A Huerta |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1891085882 PECOS PAC ID: 8820222938 Enrollment ID: I20141011000156 |
| Provider Name | Paul E Romo |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306089313 PECOS PAC ID: 2062649007 Enrollment ID: I20141014000472 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3908 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 505-903-0927 |