New Mexico Rehabilitation Center
LBN: State Of New Mexico
New Mexico Rehabilitation Center 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 Garcia, Monica P via phone (575) 347-3460.
Contact Information
Primary practice address
72 Gail Harris Ave
Roswell NM 88203-8116
Phone: (575) 347-3400
Fax: (575) 347-5177
Website:
Health care specialties
| Specialty | Code | License # | 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 | New Mexico Rehabilitation Center |
| Authorized official | Garcia, Monica P |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jun 18th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922094770 | NPPES |
| New Mexico | MEDICAID | 00000273 | |
| New Mexico | MEDICAID | 00049528 | |
| New Mexico | MEDICAID | 28858735 |
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