Family Medicine
BERNALILLO COUNTY YOUTH SERVICES CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1740592054 · enumerated 2010-07-02 · record updated 2010-07-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. THOMAS SWISSTACK, Director · (505) 468-7122
Addresses and phones
- Mailing address PO BOX 25945, ALBUQUERQUE, NM, 87125-0945 (505) 468-7236 Fax (505) 462-9917 Google Maps Apple Maps OpenStreetMap
- Practice location 5100 2ND ST NW, ALBUQUERQUE, NM, 87107-4009 (505) 468-7236 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License 97PA03 NM
- Family Medicine 207Q00000X · Primary · License 9628 NM
In this directory
Locations and evidence
-
Practice location
ALBUQUERQUE, NM, 871074009
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.