BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...
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Hospitals,Facilities, and Other<br />
Care <strong>Provider</strong>s<br />
Alamogordo<br />
SMITH, TERRY CNM<br />
<strong>Provider</strong> ID: NM016794<br />
2559 MEDICAL DR STE D<br />
575-434-2229<br />
Fax: 575-439-5705<br />
Occupational Therapy<br />
KRCIL, LIANE OT<br />
<strong>Provider</strong> ID: NM00Q160<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
SHOAF, KRISTI OT<br />
<strong>Provider</strong> ID: NM00Q630<br />
1809 INDIAN WELLS RD<br />
575-437-1967<br />
Fax: 575-437-3969<br />
VANDERGRIFF, CHRYSTAL OT<br />
<strong>Provider</strong> ID: NM00S226<br />
1011A 10TH ST<br />
575-439-9878<br />
Fax: 575-439-9876<br />
VANDERGRIFF, CHRYSTAL OT<br />
<strong>Provider</strong> ID: NM00BG10<br />
2474 INDIAN WELLS RD STE A<br />
575-443-8442<br />
Fax: 575-434-5624<br />
Languages: Spanish<br />
Optometry<br />
HICKS, BRANDON OD<br />
<strong>Provider</strong> ID: NM00PH01<br />
1124 10TH ST<br />
575-434-1200<br />
Fax: 575-437-3947<br />
Languages: Spanish<br />
Physical Therapy &<br />
Rehabilitation<br />
ECONOMOS, NIKKIANN PT<br />
<strong>Provider</strong> ID: NM00T058<br />
1011A 10TH ST<br />
575-439-9878<br />
Fax: 575-439-9876<br />
ELLIOTT, PATRICIA PT<br />
<strong>Provider</strong> ID: NM00Q585<br />
1011A 10TH ST<br />
575-439-9878<br />
Fax: 505-343-9876<br />
GALLIEN, RONALD PT<br />
<strong>Provider</strong> ID: NM01Q158<br />
1809 INDIAN WELLS RD<br />
575-437-1967<br />
GUSTAFSON, JULIE PT<br />
<strong>Provider</strong> ID: NM00Q635<br />
2474 E INDIAN WELLS STE B<br />
575-491-5260<br />
Fax: 575-556-8439<br />
HARTENSTEIN, ELISE PT<br />
<strong>Provider</strong> ID: NM00Q194<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
HOYT, DAN PT<br />
<strong>Provider</strong> ID: NM00Q133<br />
1011A 10TH ST<br />
575-439-9878<br />
Languages: German<br />
128<br />
IZEBOUD, GILLES PT<br />
<strong>Provider</strong> ID: NM00Q693<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
KOTTER, CHRIS PT<br />
<strong>Provider</strong> ID: NM00S153<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
Languages: Spanish<br />
LABADY, LILIANA PT<br />
<strong>Provider</strong> ID: NM00Q633<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
NOVOTNY, NICOLE PT<br />
<strong>Provider</strong> ID: NM00S241<br />
2474 E INDIAN WELLS STE B<br />
575-556-8440<br />
Fax: 575-556-8439<br />
Languages: German<br />
PATTILLO, ROBERT PT<br />
<strong>Provider</strong> ID: NM00Q162<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
REINDLE, TRACE PT<br />
<strong>Provider</strong> ID: NM00S427<br />
1809 INDIAN WELLS RD<br />
575-437-1967<br />
Fax: 575-437-3969<br />
SAUCEDO, SALVADOR PT<br />
<strong>Provider</strong> ID: NM00S130<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
Languages: Spanish<br />
SMITH, GEORGE PT<br />
<strong>Provider</strong> ID: NM00Q210<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
WALLACE, MICHAEL PT<br />
<strong>Provider</strong> ID: NM00Q164<br />
2351 INDIAN WELLS RD<br />
575-437-3351<br />
Fax: 575-437-2622<br />
Prostheses & Orthotics<br />
HANGER PROSTHETICS<br />
ORTHOTICS,<br />
<strong>Provider</strong> ID: NM00T20Y<br />
1401 10TH ST STE 2<br />
575-521-3928<br />
HANGER PROSTHETICS<br />
ORTHOTICS,<br />
<strong>Provider</strong> ID: NM00T20Y<br />
2559 N SCENIC DR STE F<br />
575-521-3928<br />
Public Health Clinic<br />
NM DEPARTMENT OF HEALTH<br />
PUBLIC HE,<br />
<strong>Provider</strong> ID: NM007067<br />
1207 8TH ST<br />
575-437-9340<br />
Fax: 575-434-6629<br />
Hospitals,Facilities, and Other Care <strong>Provider</strong>s<br />
Skilled Nursing Facility<br />
CASA ARENA BLANCA CT,<br />
<strong>Provider</strong> ID: NM01M090<br />
205 MOONGLOW AVE<br />
575-434-4510<br />
Speech Therapy<br />
GALLIEN, PAM SLP<br />
<strong>Provider</strong> ID: NM01K42D<br />
1809 INDIAN WELLS RD<br />
575-437-1967<br />
Albuquerque<br />
Bernalillo County<br />
Acute Care Hospital<br />
LOVELACE MED CTR<br />
DOWNTOWN,<br />
<strong>Provider</strong> ID: NM010084<br />
504 ELM ST NE<br />
505-366-2600<br />
LOVELACE MED CTR<br />
DOWNTOWN,<br />
<strong>Provider</strong> ID: NM010084<br />
601 DR MARTIN LUTHER KING JR AVE<br />
NE<br />
505-366-2600<br />
LOVELACE WESTSIDE HOSPITAL,<br />
<strong>Provider</strong> ID: NM010088<br />
10501 GOLF COURSE RD NW<br />
505-727-2000<br />
LOVELACE WOMENS HOSPITAL,<br />
<strong>Provider</strong> ID: NM010090<br />
4701 MONTGOMERY BLVD NE<br />
505-727-7800<br />
Fax: 505-727-7884<br />
PRESBYTERIAN HOSPITAL,<br />
<strong>Provider</strong> ID: NM000042<br />
1100 CENTRAL AVE SE<br />
505-841-1234<br />
Note: <strong>Provider</strong> is not contracted with<br />
BCBSNM for members residing in<br />
Bernalillo, Sandoval,Valencia and<br />
Torrance counties<br />
PRESBYTERIAN HOSPITAL,<br />
<strong>Provider</strong> ID: NM000042<br />
8300 CONSTITUTION AVE NE<br />
505-291-2000<br />
Note: <strong>Provider</strong> is not contracted with<br />
BCBSNM for members residing in<br />
Bernalillo, Sandoval,Valencia and<br />
Torrance counties<br />
UNM HOSPITAL,<br />
<strong>Provider</strong> ID: NM000006<br />
2211 LOMAS BLVD NE<br />
505-272-2111<br />
Air Ambulance<br />
CRITICAL AIR RESPONSE ENT,<br />
<strong>Provider</strong> ID: NM00RC13<br />
2502 CLARK CARR LOOP SE<br />
505-242-7760<br />
Fax: 505-323-1354<br />
LIFEGUARD UNIVERSITY HOSP,<br />
<strong>Provider</strong> ID: NM00R22R<br />
2211 LOMAS BLVD NE<br />
505-272-3116<br />
MED FLIGHT AIR AMBULANCE,<br />
<strong>Provider</strong> ID: NM00R167<br />
2301 YALE BLVD SE STE D3<br />
505-842-4433<br />
Ambulance Services<br />
NEWBORN PEDS TRANSPORT<br />
UNM HCS,<br />
<strong>Provider</strong> ID: NM00R21R<br />
2211 LOMAS BLVD NE<br />
505-272-3116<br />
Ambulatory Surgical<br />
Center (ASC)<br />
ABQ HEALTH PARTNERS<br />
ENDOSCOP,<br />
<strong>Provider</strong> ID: NM007H77<br />
5400 GIBSON SE<br />
505-262-7174<br />
Fax: 505-262-3562<br />
ALBU AMBULATORY EYE SURG<br />
CTR,<br />
<strong>Provider</strong> ID: NM00SS87<br />
5901 HARPER DR NE<br />
505-823-8545<br />
Fax: 505-244-9566<br />
NM ORTHOPAEDIC SURGERY<br />
CTR,<br />
<strong>Provider</strong> ID: NM00SS23<br />
201 CEDAR ST SE STE 7650<br />
505-724-4395<br />
NM SURGICENTER LIMITED<br />
PARTNERSHI,<br />
<strong>Provider</strong> ID: NM00SS01<br />
1720 WYOMING BLVD NE<br />
505-292-9200<br />
SOUTHWEST ENDOSCOPY LTD,<br />
<strong>Provider</strong> ID: NM00SS17<br />
7788 JEFFERSON NE<br />
505-999-1600<br />
Fax: 505-999-1595<br />
UNITED SHOCKWAVE SERVICES<br />
LTD,<br />
<strong>Provider</strong> ID: NM00TC89<br />
101 HOSPITAL LOOP NE STE 115<br />
888-835-0886<br />
UNITED SHOCKWAVE SERVICES<br />
LTD,<br />
<strong>Provider</strong> ID: NM00TC89<br />
101 HOSPITAL LOOP NE STE 214<br />
888-835-0886<br />
UNITED SHOCKWAVE SERVICES<br />
LTD,<br />
<strong>Provider</strong> ID: NM00TC89<br />
1720 WYOMING BLVD NE<br />
877-465-4846<br />
Fax: 847-297-8853<br />
UNITED SHOCKWAVE SERVICES<br />
LTD,<br />
<strong>Provider</strong> ID: NM00TC89<br />
1925 JUAN TABO BLVD NE STE D<br />
888-835-0886<br />
UNITED SHOCKWAVE SERVICES<br />
LTD,<br />
<strong>Provider</strong> ID: NM00TC89<br />
7520 MONTGOMERY BLVD NE BLDG<br />
D12<br />
877-465-4846<br />
Fax: 847-297-8853<br />
February 2012