OrganizationActive
Oak Street Health Physicians Group of New Mexico LLC
NPI 1134793151 · Primary Care Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1134793151
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Terrance Morton, Cmo(704) 607-4835
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Practice location
4208 Central Ave Sw Ste G
Albuquerque, NM 87105-1695
Phone: (505) 777-3001
Fax: (505) 808-4977
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 740018
Atlanta, GA 30374-0018
Registry dates
- Enumerated
- 2021-05-14
- Last updated
- 2025-10-13
- Certified
- 2025-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.