Fcmbh-Pc
LBN: Four Corners Mental And Behavioral Health Pc
Fcmbh-Pc is an health care organization with primary practice located at 1003 Luna Cir Nw , Albuquerque NM 87102-1973. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Four Corners Mental And Behavioral Health Pc can be contacted via phone (505) 504-5505, or through Baca, Shannon Solis via phone (505) 200-9855.
Contact Information
Primary practice address
1003 Luna Cir Nw
Albuquerque NM 87102-1973
Phone: (505) 504-5505
Fax: (505) 214-5614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X |
Profile Details
| NPI number | 1891056909 |
|---|---|
| LBN Legal business name | Four Corners Mental And Behavioral Health Pc |
| DBA Doing business as | Fcmbh-Pc |
| Authorized official | Baca, Shannon Solis |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Aug 29th, 2023 - 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 | 1891056909 | NPPES |
| New Mexico | MEDICAID | 37776825 |
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