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BACA COMMUNITY HEALTH
NPI 1245995315
Clinic/Center - Primary Care in Albuquerque, NM

Active since November 03, 2021CLIA 32D2238566 · Waiver
2921 CARLISLE BLVD NE STE 125, ALBUQUERQUE, NM 87110(505) 573-2666 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 10, 2024, Apr 12, 2023, Dec 1, 2021 and 1 more (4 updates tracked since 2021).

About Baca Community Health NPPES

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

BACA COMMUNITY HEALTH (NPI 1245995315) is a healthcare organization registered as a primary care in Albuquerque, New Mexico and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 4, 2027 and lists Lakeitha C Burton, Revenue Cycle Manager, as its authorized official.

NPPES Registry Identity

NPI1245995315
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBACA COMMUNITY HEALTH
Location Address2921 CARLISLE BLVD NE STE 125Albuquerque, NM 87110-2865
Mailing Address2921 Carlisle Blvd Ne Ste 119Albuquerque, NM 87110-2864 · (505) 539-5290 · Fax (505) 212-6368
Phone(505) 573-2666
Organization SubpartNo
Authorized OfficialLakeitha C BurtonRevenue Cycle Manager · (719) 491-8173
Enumeration DateNovember 3, 2021
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1245995315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X
2921 CARLISLE BLVD NE STE 125, Albuquerque, NM 87110
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2238566

Baca Community Health · Albuquerque, NM
Active · expires Oct 4, 2027
CLIA Number32D2238566
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorSuzette G. Baca
Laboratory Phone(505) 573-2666
Laboratory LocationBaca Community Health2921 Carlisle Blvd NE Suite 125, Albuquerque, NM 87110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BCH ADDICTION & TREATMENT CENTER
Clinic/Center (Methadone)
2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM 87110
Bernalillo County (505) 554-1659
MARIA I GOLSON AGPCNP-BC
Nurse Practitioner (Gerontology)
2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM 87110
Bernalillo County (505) 539-5290
MICHELLE MAESTAS FNP-C
Nurse Practitioner (Family)
2921 CARLISLE BLVD NE STE 125
ALBUQUERQUE, NM 87110
Bernalillo County (505) 554-1659

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 Baca Community Health's NPI number?

The NPI number for Baca Community Health is 1245995315. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Baca Community Health located?

Baca Community Health is located at 2921 Carlisle Blvd NE Ste 125, Albuquerque, NM 87110. The listed phone number is (505) 573-2666.

What is Baca Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Baca Community Health hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2238566) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Baca Community Health was last updated on October 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.