Alta Mira Specialized Family Services, Inc.

LBN: Alta Mira Specialized Family Services, Inc.
Alta Mira Specialized Family Services, Inc. is an health care organization with primary practice located at 1605 Carlisle Blvd Ne , Albuquerque NM 87110-5619. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Agencies / Community/Behavioral Health is the primary health care specialty. Alta Mira Specialized Family Services, Inc. can be contacted via phone (505) 262-0801, or through Copeland, Jim via phone (505) 262-0801.

Contact Information

Primary practice address
1605 Carlisle Blvd Ne Albuquerque NM 87110-5619
Fax: (505) 262-0845
Website:
Authorized official contact:
Name: Copeland, Jim

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1699833640
LBN Legal business name Alta Mira Specialized Family Services, Inc.
DBA Doing business as
Authorized official Copeland, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Feb 25th, 2008 - about 16 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 1699833640 NPPES
New Mexico MEDICAID 000E7208
New Mexico MEDICAID 000D0067

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