<Unavail>

LBN: State Of New Mexico
<Unavail> is an health care organization with primary practice located at 72 Gail Harris Ave , Roswell NM 88203-8116. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Hospitals / Rehabilitation Hospital, Hospitals / Special Hospital. Hospitals / Rehabilitation Hospital is the primary health care specialty. State Of New Mexico can be contacted via phone (575) 347-3400, or through Davies, Janie via phone (575) 347-3400.

Contact Information

Primary practice address
72 Gail Harris Ave Roswell NM 88203-8116
Phone: (575) 347-3400
Fax: (575) 347-5177
Website:
Map and Directions
Authorized official contact:
Name: Davies, Janie
Phone: (575) 347-3400

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 6026 New Mexico
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 6026 New Mexico
Hospitals / Rehabilitation Hospital 283X00000X 6026 New Mexico
Hospitals / Special Hospital 284300000X 6026 New Mexico

Profile Details

NPI number 1922094770
LBN Legal business name State Of New Mexico
DBA Doing business as <Unavail>
Authorized official Davies, Janie
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 2005
Last updated Jan 21st, 2025 - about last year

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 1922094770 NPPES
New Mexico MEDICAID 00049528
New Mexico MEDICAID 28858735
New Mexico MEDICAID 00000273

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