Healthcare Provider Details

I. General information

NPI: 1447411632
Provider Name (Legal Business Name): FIRST CHOICE COMMUNITY HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S 9TH ST
BELEN NM
87002-3102
US

IV. Provider business mailing address

PO BOX 27561 MEDICAL DEPT#31116 & DENTAL DEPT#31117
ALBUQUERQUE NM
87125-7561
US

V. Phone/Fax

Practice location:
  • Phone: 505-861-1013
  • Fax: 505-224-8717
Mailing address:
  • Phone: 505-241-5182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMIAH DYE
Title or Position: CEO
Credential: DDS
Phone: 505-241-5182