Fraternal Order Of Knights Templar (Fokt)

LBN: Santa Maria El Mirador
Fraternal Order Of Knights Templar (Fokt) is an health care organization with primary practice located at 2041 S Pacheco St Suite 100, Santa Fe NM 87505-5473. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Santa Maria El Mirador can be contacted via phone (505) 424-7700, or through Duran, Eloy F via phone (505) 428-2004.

Contact Information

Primary practice address
2041 S Pacheco St Suite 100 Santa Fe NM 87505-5473
Phone: (505) 424-7700
Fax: (505) 424-7707
Website:
Map and Directions
Authorized official contact:
Name: Duran, Eloy F
Phone: (505) 428-2004

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 02347611007 New Mexico

Profile Details

NPI number 1619150463
LBN Legal business name Santa Maria El Mirador
DBA Doing business as Fraternal Order Of Knights Templar (Fokt)
Authorized official Duran, Eloy F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 19 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 1619150463 NPPES
New Mexico MEDICAID 60205512

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