Alta Mira Specialized Family Services

LBN: Alta Mira Specialized Family Services
Alta Mira Specialized Family Services is an health care organization with primary practice located at 1605 Carlisle Blvd Ne , Albuquerque NM 87110-5619. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Alta Mira Specialized Family Services can be contacted via phone (505) 262-0801, or through Copeland, Jim via phone (505) 366-2117.

Contact Information

Primary practice address
1605 Carlisle Blvd Ne Albuquerque NM 87110-5619
Phone: (505) 262-0801
Fax: (505) 262-0845
Website:
Map and Directions
Authorized official contact:
Name: Copeland, Jim
Phone: (505) 366-2117

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1629524434
LBN Legal business name Alta Mira Specialized Family Services
DBA Doing business as
Authorized official Copeland, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2016
Last updated Aug 31st, 2016 - about 8 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 1629524434 NPPES
New Mexico MEDICAID E7208

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