Provider Demographics
NPI:1548155302
Name:ROADRUNNER FOOD BANK OF NEW MEXICO, INC.
Entity type:Organization
Organization Name:ROADRUNNER FOOD BANK OF NEW MEXICO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP STRATEGY, PARTNERSHIPS, ADVOCACY
Authorized Official - Prefix:
Authorized Official - First Name:KATY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-349-5344
Mailing Address - Street 1:5840 OFFICE BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-5819
Mailing Address - Country:US
Mailing Address - Phone:505-247-2052
Mailing Address - Fax:
Practice Address - Street 1:5840 OFFICE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-5819
Practice Address - Country:US
Practice Address - Phone:505-247-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging