Organization
SOUTHWEST CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ADAMS (CEO)
(505) 955-9454
Entity
Organization
Contact information
Practice address
4710 JEFFERSON ST NE STE A, ALBUQUERQUE, NM 87109-2156
(505) 780-4044
(505) 888-9492
Mailing address
PO BOX 6880, SANTA FE, NM 87502-6880
(505) 216-0332
(505) 888-9492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261Q00000X
Clinic/Center
Primary
PT00006225
NM
Other
Enumeration date
12/31/2015
Last updated
09/30/2021
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