Dismas House

LBN: Dismas House
Dismas House is an health care organization with primary practice located at 701 Candelaria , Albuquerque NM 87108. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Dismas House can be contacted via phone (505) 343-0746, or through Givens, James via phone (505) 343-0746.

Contact Information

Primary practice address
701 Candelaria Albuquerque NM 87108
Phone: (505) 343-0746
Fax: (505) 345-4513
Website:
Map and Directions
Authorized official contact:
Name: Givens, James
Phone: (505) 343-0746

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X NPI#1902918055 New Mexico

Profile Details

NPI number 1205219771
LBN Legal business name Dismas House
DBA Doing business as
Authorized official Givens, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2015
Last updated Jul 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205219771 NPPES
New Mexico MEDICAID N3938

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