Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bernalillo County Youth Services Center

Organization Family Medicine Physician · NPI 1740592054

Bernalillo County Youth Services Center provides Family Medicine Physician services in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2010.

Licensed in
NM
In the registry since
2010
Specialties on file
2

Practice location Address checks out

5100 2nd St NW
Albuquerque, NM 87107-4009 Not confirmed with CMS for 16 years — call before visiting
Phone: (505) 468-7236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9628 (NM)
Physician Assistant Taxonomy 363A00000X · Licence 97PA03 (NM)

Record details

NPI number1740592054
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Swisstack — Director · (505) 468-7122
NPI enumeratedJuly 2, 2010
Last updated in NPPESJuly 2, 2010
Mailing addressPo Box 25945, Albuquerque, NM 87125-0945

Other providers in Albuquerque