Provider Demographics
NPI:1518178292
Name:HEALTH CARE PARTNERS SYSTEMS, LLC
Entity Type:Organization
Organization Name:HEALTH CARE PARTNERS SYSTEMS, LLC
Other - Org Name:HEALTH CARE PARTNERS FOUNDATION, INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-268-0700
Mailing Address - Street 1:8307 CONSTITUTION AVE. NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-7612
Mailing Address - Country:US
Mailing Address - Phone:505-268-0700
Mailing Address - Fax:505-268-1265
Practice Address - Street 1:8307 CONSTITUTION AVE. NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-7612
Practice Address - Country:US
Practice Address - Phone:505-268-0700
Practice Address - Fax:505-268-1265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO34753207Q00000X
NMCL00010864261QU0200X
363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNMB2133OtherMEDICARE PTAN GROUP
NM95177574Medicaid