Southwest Care Center | |
649 Harkle Rd Ste E Santa Fe NM 87505-4765 | |
(505) 955-9454 | |
(505) 216-9067 |
Full Name | Southwest Care Center |
---|---|
Speciality | Clinic/Center |
Location | 649 Harkle Rd Ste E, Santa Fe, New Mexico |
Authorized Official Name and Position | Michael Adams (CEO) |
Authorized Official Contact | 5059898200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Southwest Care Center Po Box 6880 Santa Fe NM 87502-6880 Ph: (505) 216-0332 | Southwest Care Center 649 Harkle Rd Ste E Santa Fe NM 87505-4765 Ph: (505) 955-9454 |
NPI Number | 1871602698 |
---|---|
Provider Enumeration Date | 08/29/2006 |
Last Update Date | 12/19/2024 |
Medicare PECOS PAC ID | 8921043035 |
---|---|
Medicare Enrollment ID | O20050620000992 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871602698 | NPI | - | NPPES |
29904226 | Medicaid | NM | |
K5766 | Medicaid | NM | |
61507067 | Medicaid | NM | |
98521578 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Delia D Garcia |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1588758973 PECOS PAC ID: 3375438286 Enrollment ID: I20040219000301 |
Provider Name | Debra L Tousley |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1962509380 PECOS PAC ID: 7416919014 Enrollment ID: I20041027000146 |
Provider Name | Anita P Gomez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972519940 PECOS PAC ID: 4880773720 Enrollment ID: I20080505000290 |
Provider Name | Cristy L Wickman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265478622 PECOS PAC ID: 9335295427 Enrollment ID: I20090915000065 |
Provider Name | Joanna C Toews |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760619001 PECOS PAC ID: 1456508258 Enrollment ID: I20120830000218 |
Provider Name | Terese A Selvage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205935004 PECOS PAC ID: 1254553100 Enrollment ID: I20141110002185 |
Provider Name | Tamara L Saimons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538542873 PECOS PAC ID: 1759691777 Enrollment ID: I20151103002787 |
Provider Name | Bruce Lindsey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700073129 PECOS PAC ID: 8325340847 Enrollment ID: I20151230000704 |
Provider Name | Melanie Cottier Fowler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912128786 PECOS PAC ID: 6305946567 Enrollment ID: I20171201000687 |
Provider Name | Hilda Mcadams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396838082 PECOS PAC ID: 5092860510 Enrollment ID: I20190822000104 |
Provider Name | Sarah Lindiwe Hobongwana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699162198 PECOS PAC ID: 8820306608 Enrollment ID: I20191022002228 |
Provider Name | Faynessa J Hernandez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699120642 PECOS PAC ID: 2365736998 Enrollment ID: I20191211000452 |
Provider Name | Alisa Montano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932546827 PECOS PAC ID: 1850726837 Enrollment ID: I20200122000113 |
Provider Name | Kevin Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356482426 PECOS PAC ID: 6406953835 Enrollment ID: I20201111002453 |
Provider Name | Chatmanee Winkelmaier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063008852 PECOS PAC ID: 5092120766 Enrollment ID: I20210211001308 |
Provider Name | David M King |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1306039276 PECOS PAC ID: 6305926940 Enrollment ID: I20210528000421 |
Provider Name | Janet Kirk |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437174984 PECOS PAC ID: 7517037864 Enrollment ID: I20210607000078 |
Provider Name | Hannah Grace-felix Espera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386294585 PECOS PAC ID: 4587055041 Enrollment ID: I20211217000937 |
Provider Name | Laura Mancuso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699184432 PECOS PAC ID: 4183989536 Enrollment ID: I20220504001867 |
Provider Name | Morgan Alexandra Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558094649 PECOS PAC ID: 0143601914 Enrollment ID: I20220726000473 |
Provider Name | Ashley S Bunch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245966209 PECOS PAC ID: 5193100733 Enrollment ID: I20220916002539 |
Provider Name | Rosemary Rossi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073177911 PECOS PAC ID: 8820014012 Enrollment ID: I20221012002695 |
Provider Name | Victoria Tom-wong Chew |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265804520 PECOS PAC ID: 3072845015 Enrollment ID: I20230314002925 |
Provider Name | Hillary Froehlich-gerke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326437435 PECOS PAC ID: 8820463839 Enrollment ID: I20230405000431 |
Provider Name | Carrie L. Eberhardy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396986444 PECOS PAC ID: 8123462876 Enrollment ID: I20240221001434 |
Provider Name | Paula Stubbs |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1386017895 PECOS PAC ID: 7012353055 Enrollment ID: I20240312003473 |
Provider Name | Michael Ohearn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730169913 PECOS PAC ID: 0446200760 Enrollment ID: I20240506000314 |
Provider Name | Martha Chimhashu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346068418 PECOS PAC ID: 4688107246 Enrollment ID: I20241104003364 |
Provider Name | Renee Garnier |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376895334 PECOS PAC ID: 0547520231 Enrollment ID: I20241121000199 |
Santa Fe Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1640 Hospital Dr, Santa Fe, NM 87505 Phone: 505-983-9350 Fax: 505-955-8763 | |
Axces Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Harkle Rd Ste B, Santa Fe, NM 87505 Phone: 505-207-8078 Fax: 505-207-8082 | |
Joshua Brown Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1650 Hospital Dr Ste 200, Santa Fe, NM 87505 Phone: 505-982-4276 Fax: 505-983-7571 | |