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
1	207Q00000X	Family Medicine Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1922269117
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	:	1231 CANDELARIA RD NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2767
Country	:	US
Telephone Number	:	505-345-3244
Fax Number	:	505-344-4056

Authorized Official
Title or Position	:	CEO
Name	:	JEREMIAH M DYE
Credential	:	DDS
Telephone Number	:	505-459-8321

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	12/18/2025

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