New Mexico Behavioral Health Institue At Las Vegas

LBN: State Of New Mexico
New Mexico Behavioral Health Institue At Las Vegas is an health care organization with primary practice located at 3695 Hot Springs Blvd , Las Vegas NM 87701-9549. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. State Of New Mexico can be contacted via phone (505) 454-2100, or through Jaramillo, Charles R. via phone (505) 454-2306.

Contact Information

Primary practice address
3695 Hot Springs Blvd Las Vegas NM 87701-9549
Phone: (505) 454-2100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jaramillo, Charles R.
Phone: (505) 454-2306

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 32D0653275 New Mexico

Profile Details

NPI number 1407057607
LBN Legal business name State Of New Mexico
DBA Doing business as New Mexico Behavioral Health Institue At Las Vegas
Authorized official Jaramillo, Charles R.
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Apr 30th, 2009 - about 17 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 1407057607 NPPES
New Mexico MEDICAID 52431

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