RED RIVER PRIMARY CARE
NPI 1053672485
General Practice in Red River, NM

Q: What is Angel Fire Primary Care's NPI number?

The NPI number for Angel Fire Primary Care is 1053672485. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is doing business as Red River Primary Care.

Q: What is Angel Fire Primary Care's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 01, 2012

200 A PIONEER ROAD, RED RIVER, NM 87558(575) 754-1773(505) 989-3536 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Red River Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED RIVER PRIMARY CARE (NPI 1053672485) is a healthcare organization registered as a general practice in Red River, New Mexico and active in the NPI registry since June 2012. The organization lists Lesa D Fraker, President, as its authorized official.

NPPES Registry Identity

NPI1053672485

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameANGEL FIRE PRIMARY CARE

Location Address200 A PIONEER ROADRed River, NM 87558-0000

Mailing Address707 Paseo De PeraltaSanta Fe, NM 87501-1922 · (505) 989-8707 · Fax (505) 989-3536

Phone(575) 754-1773

Fax(505) 989-3536

Organization SubpartNo

Authorized OfficialLesa D FrakerPresident · (505) 989-8707

Enumeration DateJune 1, 2012

✔ NPI 1053672485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

200 A PIONEER ROAD, Red River, NM 87558

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Other Names 1

Doing Business AsRed River Primary Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Fire Primary Care's NPI number?

The NPI number for Angel Fire Primary Care is 1053672485. It was assigned to this organization in the NPPES registry on June 1, 2012. The provider is doing business as Red River Primary Care.

Where is Angel Fire Primary Care located?

Angel Fire Primary Care is located at 200 A Pioneer Road, Red River, NM 87558. The listed phone number is (575) 754-1773.

What is Angel Fire Primary Care's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Angel Fire Primary Care was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.