MEDMARK TREATMENT CENTERS ISLETA
NPI 1861848632
Family Medicine - Addiction Medicine in Albuquerque, NM

NPI Status: Active since May 10, 2016

Contact Information

901 3RD ST NW
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 717-2397

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  • Organization
  • Family Medicine
  • Addiction Medicine

About MEDMARK TREATMENT CENTERS ISLETA

This page provides the complete NPI Profile along with additional information for Medmark Treatment Centers Isleta, 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 1861848632 assigned on May 2016. The practitioner's primary taxonomy code is 207QA0401X. The provider is registered as an organization and their NPI record was last updated one year ago. Medmark Treatment Centers Isleta operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Medmark Treatment Centers Isleta. The authorized official of this NPI record is Bruce Jarvie (Vp, Treasurer)

NPI
1861848632
Provider Legal Name
RECOVERY SERVICES OF NEW MEXICO, LLC
Other Organization Name
MEDMARK TREATMENT CENTERS ISLETA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
901 3RD ST NW ALBUQUERQUE, NM 87102
Location Phone
(505) 717-2397
Mailing Address
1720 LAKEPOINTE DR STE 117 LEWISVILLE, TX 75057
Mailing Phone
(214) 379-3300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2016
Last Update Date
07-29-2024
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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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
22084P0802XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Addiction Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRUCE JARVIE

Authorized Official Title
VP, TREASURER
Authorized Official Phone
(214) 379-3300

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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.
1861848632
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281211641666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 6 + 4 + 1 + 6 + 6 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1861848632 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861848632, enumerated in the NPI registry as an "organization" on May 10, 2016

The provider is located at 901 3rd St Nw Albuquerque, Nm 87102 and the phone number is (505) 717-2397

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

This NPI record was last updated on May 10, 2016. 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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