Roots & Wings Community Charter School

LBN: Roots & Wings Community Charter School
Roots & Wings Community Charter School is an health care organization with primary practice located at 35 La Lama Road , Albuquerque NM 87556. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Roots & Wings Community Charter School can be contacted via phone (575) 585-2076, or through Archuleta, Charlotte M via phone (505) 450-1415.

Contact Information

Primary practice address
35 La Lama Road Albuquerque NM 87556
Phone: (575) 585-2076
Fax: (575) 586-2087
Website:
Map and Directions
Authorized official contact:
Name: Archuleta, Charlotte M
Phone: (505) 450-1415

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 000T6366 New Mexico

Profile Details

NPI number 1609318112
LBN Legal business name Roots & Wings Community Charter School
DBA Doing business as
Authorized official Archuleta, Charlotte M
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 10 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 1609318112 NPPES
New Mexico MEDICAID 1376509448

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