Coyote Canyon Rehabilitation Center, Inc.

LBN: Coyote Canyon Rehabilitation Center, Inc.
Coyote Canyon Rehabilitation Center, Inc. is an health care organization with primary practice located at 10 Miles East Navajo Route #9 , Brimhall NM 87310. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Coyote Canyon Rehabilitation Center, Inc. can be contacted via phone (505) 735-2261, or through Avery, Macdonald via phone (505) 735-2002.

Contact Information

Primary practice address
10 Miles East Navajo Route #9 Brimhall NM 87310
Phone: (505) 735-2261
Fax: (505) 735-2013
Website:
Map and Directions
Authorized official contact:
Name: Avery, Macdonald
Phone: (505) 735-2002

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X New Mexico

Profile Details

NPI number 1255622965
LBN Legal business name Coyote Canyon Rehabilitation Center, Inc.
DBA Doing business as
Authorized official Avery, Macdonald
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2011
Last updated Apr 28th, 2011 - about 14 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 1255622965 NPPES
New Mexico MEDICAID D2167

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