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 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. State Of New Mexico can be contacted via phone (505) 454-2183, or through Smith, Dan via phone (505) 454-2183.

Contact Information

Primary practice address
3695 Hot Springs Blvd Las Vegas NM 87701-9549
Phone: (505) 454-2183
Fax: (505) 454-2182
Website:
Map and Directions
Authorized official contact:
Name: Smith, Dan RPH
Phone: (505) 454-2183

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X PH00002105 New Mexico
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1598966798
LBN Legal business name State Of New Mexico
DBA Doing business as New Mexico Behavioral Health Institue At Las Vegas
Authorized official Smith, Dan RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Oct 4th, 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 1598966798 NPPES
New Mexico MEDICAID 61788
New Mexico Other 2056964

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