SOUTHWEST RECOVERY AND WELLNESS LLC
NPI 1043713415
Family Medicine - Addiction Medicine in Albuquerque, NM
NPI Status: Active since March 13, 2018
Contact Information
3874 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 896-9412
Fax: (505) 895-2505
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 32D2192182
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-07-2026
About SOUTHWEST RECOVERY AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Southwest Recovery And Wellness Llc, a provider established in Albuquerque, New Mexico operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1043713415 assigned on March 2018. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Robert D. Miller (President)
- NPI
- 1043713415
- Provider Name
- SOUTHWEST RECOVERY AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 3874 MASTHEAD ST NE ALBUQUERQUE, NM 87109
- Location Phone
- (505) 896-9412
- Location Fax
- (505) 895-2505
- Mailing Address
- 914 PINEHURST RD SE RIO RANCHO, NM 87124
- Mailing Phone
- (323) 854-8587
- Mailing Fax
- (505) 895-2505
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2018
- Last Update Date
- 03-13-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1568643146 | MEDICAID (05) | NM |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D2192182
- Facility Type
- Physician Office
- Certificate Effective Date
- September 08, 2024
- Certificate Expiration Date
- September 07, 2026
- Laboratory Director
- DR. KAREN A. FINKELSTEIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southwest Recovery And Wellness Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 7 | 1 | 3 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 14 | 1 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 1 + 4 + 1 + 6 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1043713415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114361698 | BITU HEMANT SHETH PA-C Individual | Physician Assistant | 3874 MASTHEAD ST NE ALBUQUERQUE, NM 87109 (505) 896-9412 |
| 1235297839 | DR. MANUEL A GURULE MD Individual | Psychiatry & Neurology (Neurology) | 3874 MASTHEAD ST NE ALBUQUERQUE, NM 87109 (505) 944-7555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043713415, enumerated in the NPI registry as an "organization" on March 13, 2018
The provider is located at 3874 Masthead St Ne Albuquerque, Nm 87109 and the phone number is (505) 896-9412
This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 32D2192182 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on March 13, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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