Provider Demographics
NPI:1619300118
Name:NEXTCARE NEW MEXICO LLC
Entity Type:Organization
Organization Name:NEXTCARE NEW MEXICO LLC
Other - Org Name:NEXTCARE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-776-1600
Mailing Address - Street 1:2550 N THUNDERBIRD CIR
Mailing Address - Street 2:STE 303
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1214
Mailing Address - Country:US
Mailing Address - Phone:480-776-1600
Mailing Address - Fax:480-776-0025
Practice Address - Street 1:8201 GOLF COURSE RD NW
Practice Address - Street 2:STE A3
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-5803
Practice Address - Country:US
Practice Address - Phone:480-776-1600
Practice Address - Fax:480-776-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-20
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care