Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Shadow Mountain Health LLC.

Health Service Clinic/Center in Albuquerque, NM · enumerated 2022 · authorized official Jackie Elliott, Vp Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477208452

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Registry record

Entity type Organization (Type 2)

Legal business name Shadow Mountain Health LLC.

Parent organization Shadow Mountain Recovery LLC.

Practice address 7005 Prospect Pl Ne, Albuquerque, NM, 87110

Phone (925) 389-8591

Enumeration date Feb 17, 2022

Last updated in NPPES Feb 17, 2022

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jackie Elliott

Title Vp Operations

Phone (925) 389-8591

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Shadow Mountain Health LLC. located?

The practice location on file with NPPES is in Albuquerque, NM.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-02-17. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-17.