PLACITAS MOUNTAIN MEDICAL, INC
NPI 1902333776
Clinic/Center - Urgent Care in Edgewood, NM

Active since May 11, 2017
104 QUAIL TRL UNIT B, EDGEWOOD, NM 87015(505) 309-0455 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Placitas Mountain Medical, Inc NPPES

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

PLACITAS MOUNTAIN MEDICAL, INC (NPI 1902333776) is a healthcare organization registered as an urgent care in Edgewood, New Mexico and active in the NPI registry since May 2017. The organization lists James Marc Beverly, Owner, as its authorized official.

NPPES Registry Identity

NPI1902333776
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePLACITAS MOUNTAIN MEDICAL, INC
Location Address104 QUAIL TRL UNIT BEdgewood, NM 87015-7185
Mailing Address12127b Hwy 14 N Ste 5Cedar Crest, NM 87008-9499 · (505) 281-5180
Organization SubpartYesParent: Placitas Mountain Medical, Inc.
Authorized OfficialJames Marc BeverlyOwner · (505) 281-5180
Enumeration DateMay 11, 2017
NPI 1902333776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
104 QUAIL TRL UNIT B, Edgewood, NM 87015

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.

Clinic/Center (Urgent Care)
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015
Specialist
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015
Nurse Practitioner (Adult Health)
104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015

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 Placitas Mountain Medical, Inc's NPI number?

The NPI number for Placitas Mountain Medical, Inc is 1902333776. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Placitas Mountain Medical, Inc located?

Placitas Mountain Medical, Inc is located at 104 Quail Trl Unit B, Edgewood, NM 87015. The listed phone number is (505) 309-0455.

What is Placitas Mountain Medical, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Placitas Mountain Medical, Inc was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.