Healthcare Provider Details

I. General information

NPI: 1508420019
Provider Name (Legal Business Name): ARCA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 03/30/2020
Certification Date: 03/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 4TH ST NW
ALBUQUERQUE NM
87102-1420
US

IV. Provider business mailing address

11200 LOMAS BLVD NE
ALBUQUERQUE NM
87112-5514
US

V. Phone/Fax

Practice location:
  • Phone: 505-274-4442
  • Fax:
Mailing address:
  • Phone: 505-332-6832
  • Fax: 505-332-6719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FRANCIS ALMOND
Title or Position: ACCOUNTING MANAGER
Credential: DO
Phone: 505-332-6832