Healthcare Provider Details

I. General information

NPI: 1528313228
Provider Name (Legal Business Name): DUKE CITY RECOVERY TOOLBOX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 1ST ST NW
ALBUQUERQUE NM
87102-2355
US

IV. Provider business mailing address

912 1ST ST NW
ALBUQUERQUE NM
87102-2355
US

V. Phone/Fax

Practice location:
  • Phone: 505-224-9777
  • Fax: 505-224-9779
Mailing address:
  • Phone: 505-224-9777
  • Fax: 505-224-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number03-219048-00-0
License Number StateNM

VIII. Authorized Official

Name: SHARON RENEE HARTSFIELD
Title or Position: BILLING MANAGER
Credential:
Phone: 505-224-9777