Four Corners Psychiatric Services

LBN: Four Corners Psychiatric Services
Four Corners Psychiatric Services is an health care organization with primary practice located at 3751 N Butler Ave Ste 115, Farmington NM 87401-6435. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Four Corners Psychiatric Services can be contacted via phone (505) 516-0252, or through Digioia, James R via phone (505) 516-0252.

Contact Information

Primary practice address
3751 N Butler Ave Ste 115 Farmington NM 87401-6435
Phone: (505) 516-0252
Fax: (505) 516-0057
Website:
Map and Directions
Authorized official contact:
Name: Digioia, James R Doctor of Osteopathy (DO)
Phone: (505) 516-0252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A121503 New Mexico

Profile Details

NPI number 1073750725
LBN Legal business name Four Corners Psychiatric Services
DBA Doing business as
Authorized official Digioia, James R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2009
Last updated Jan 17th, 2009 - about 15 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 1073750725 NPPES
New Mexico MEDICAID 09057315
New Mexico Other 1154312742

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