Halvorson House, Inc.
LBN: Halvorson House, Inc.
Halvorson House, Inc. is an health care organization with primary practice located at 108 N Behrend Ave , Farmington NM 87401-8448. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty.
Halvorson House, Inc. can be contacted via phone (505) 326-2736, or through Lewis, Tami via phone (505) 326-2736.
Contact Information
Primary practice address
108 N Behrend Ave
Farmington NM 87401-8448
Phone: (505) 326-2736
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 1079A | New Mexico |
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | 1079A | New Mexico |
Profile Details
| NPI number | 1891892014 |
|---|---|
| LBN Legal business name | Halvorson House, Inc. |
| DBA Doing business as | |
| Authorized official | Lewis, Tami |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891892014 | NPPES |
| New Mexico | MEDICAID | M1925 | |
| New Mexico | MEDICAID | M0115 |
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