Pure Healthcare of New Mexico LLC
NPI 1578027470ActiveOrganization· Clinic/Center, Infusion Therapy· Albuquerque, NM
Clinic/Center, Infusion Therapy in Albuquerque, New Mexico, registered in NPPES in January 2019. The authorized official on file is Rachel Fraga, Credentialing Contracting Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578027470 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2019 |
| Last updated in NPPES | Apr 29, 2025 |
| Certified by provider | Apr 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Infusion Therapy Primary | 261QI0500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
Other Clinic/Center, Infusion Therapy providers in Albuquerque
- 1346053907
- 1568181840