GUADALUPE COUNTY
NPI 1346249968
Clinic/Center - Emergency Care in Santa Rosa, NM
NPI Status: Active since July 15, 2005
Contact Information
117 CAMINO DE VIDA
100
SANTA ROSA, NM
ZIP 88435
Phone: (575) 472-3417
Fax: (575) 472-4587
- Organization
- Clinic/Center
- Emergency Care
- Accepts Insurance
- CLIA Number: 32D0714232
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 05-07-2027
About GUADALUPE COUNTY
This page provides the complete NPI Profile along with additional information for Guadalupe County, a provider established in Santa Rosa, New Mexico operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1346249968 assigned on July 2005. The practitioner's primary taxonomy code is 261QE0002X. The provider is registered as an organization and their NPI record was last updated February 2025. The provider's
- NPI
- 1346249968
- Provider Legal Name
- GUADALUPE COUNTY
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 117 CAMINO DE VIDA 100 SANTA ROSA, NM 88435
- Location Phone
- (575) 472-3417
- Location Fax
- (575) 472-4587
- Mailing Address
- 117 CAMINO DE VIDA 100 SANTA ROSA, NM 88435
- Mailing Phone
- (575) 472-3417
- Mailing Fax
- (575) 472-4587
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2005
- Last Update Date
- 02-28-2025
- Code Navigator
Location Map
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
Clinic/Center Emergency Care
- Taxonomy Code
- 261QE0002X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 282N00000X | Hospitals | General Acute Care Hospital | 6799 (NM) |
| 3 | 282NR1301X | Hospitals | General Acute Care Hospital |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7230 | OTHER (01) | NM | NM DEPARTMENT OF HEALTH |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 32D0714232
- Facility Type
- Hospital
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- DR. RANDAL BROWN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Guadalupe County after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for GUADALUPE COUNTY
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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. | |||||||||
| 1 | 3 | 4 | 6 | 2 | 4 | 9 | 9 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 4 | 4 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 4 + 4 + 1 + 8 + 9 + 1 + 2 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1346249968 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
ANTJE POSTL RN, CFNP
Nurse Practitioner
(Family)
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
LAURA MARDO CNP
Nurse Practitioner
(Family)
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
DAWN R BACK PA
Physician Assistant
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
CASSIDY RUTH HUFFMAN
Counselor
(Professional)
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
DR. RANDAL WARREN BROWN M.D.
Family Medicine
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
MIRANDA C HALEY M.D.
Family Medicine
117 CAMINO DE VIDA
SUITE 300
SANTA ROSA, NM
ZIP 88435
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346249968, enumerated as an "organization" on July 15, 2005.
The provider is located at 117 CAMINO DE VIDA 100 SANTA ROSA, NM 88435 and the phone number is (575) 472-3417.
Clinic/Center with taxonomy code 261QE0002X and a focus in Emergency Care.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.
