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

Northern New Mexico Health Care, LLC

Organization Specialist · NPI 1861535825

Northern New Mexico Health Care, LLC is a Specialist in Espanola, New Mexico. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18648 Hwy 84-285 #C
Espanola, NM 87532
Phone: (505) 753-7576
Fax: (505) 753-7676
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1861535825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Frederiksen — President-Owner · (505) 757-6666
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address1421 Luisa St Ste R, Santa Fe, NM 87505-4073

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