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NPI Code Detail

MEDICARE: FIRST CHOICE COMMUNITY HEALTHCARE, INC.

MEDICARE: FIRST CHOICE COMMUNITY HEALTHCARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1649431834
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST CHOICE COMMUNITY HEALTHCARE, INC.
Provider Business Mailing Address
First Line : PO BOX 27561
Second Line : MEDICAL DEPT#31116 & DENTAL DEPT#31117
City : ALBUQUERQUE
State : NM
Zip : 87125-7561
Country : US
Telephone Number : 505-241-5182
Fax Number :
Provider Business Practice Location Address
First Line : 145 DON PASQUAL NW
Second Line :
City : LOS LUNAS
State : NM
Zip : 87031-8841
Country : US
Telephone Number : 505-865-4618
Fax Number : 505-244-8727
Authorized Official
Title or Position : CEO
Name : JEREMIAH M DYE
Credential : DDS
Telephone Number : 505-241-5182
Provider Enumeration Date : 06/19/2008
Last Update Date : 12/18/2025

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Directions to “FIRST CHOICE COMMUNITY HEALTHCARE, INC. ” Practice Location

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