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ANGEL FIRE PRIMARY CARE
NPI 1922376896
General Practice in Angel Fire, NM

Active since December 07, 2011
37 ASPEN, ANGEL FIRE, NM 87710(575) 377-1805 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angel Fire Primary Care NPPES

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

ANGEL FIRE PRIMARY CARE (NPI 1922376896) is a healthcare organization registered as a general practice in Angel Fire, New Mexico and active in the NPI registry since December 2011. The organization lists Lesa D Fraker, President, as its authorized official.

NPPES Registry Identity

NPI1922376896
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameANGEL FIRE PRIMARY CARE
Location Address37 ASPENAngel Fire, NM 87710-0000
Mailing Address707 Paseo De PeraltaSanta Fe, NM 87501-1922 · (505) 989-8707
Phone(575) 377-1805
Organization SubpartNo
Authorized OfficialLesa D FrakerPresident · (505) 989-8707
Enumeration DateDecember 7, 2011
Last NPPES UpdateMay 15, 2012
✔ NPI 1922376896 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
37 ASPEN, Angel Fire, NM 87710
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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

Other Providers at the Same Location NPPES

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

ULTIMED RED RIVER, INC.
Clinic/Center (Urgent Care)
37 ASPEN
ANGEL FIRE, NM 87710
Colfax County (575) 754-1773

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 1922376896. It was assigned to this organization in the NPPES registry on December 7, 2011.

Where is Angel Fire Primary Care located?

Angel Fire Primary Care is located at 37 Aspen, Angel Fire, NM 87710. The listed phone number is (575) 377-1805.

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 May 15, 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.