Healthcare Provider Details

I. General information

NPI: 1619300118
Provider Name (Legal Business Name): NEXTCARE NEW MEXICO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2013
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 GOLF COURSE RD NW STE A3
ALBUQUERQUE NM
87120-5803
US

IV. Provider business mailing address

2145 E BASELINE RD STE 101
TEMPE AZ
85283-1546
US

V. Phone/Fax

Practice location:
  • Phone: 505-800-7070
  • Fax: 505-800-7075
Mailing address:
  • Phone: 888-705-8558
  • Fax: 480-776-0025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRIS M KANE
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 888-705-8558