Los Lunas Community Program

LBN: New Mexico Department Of Health
Los Lunas Community Program is an health care organization with primary practice located at 84 Estancia Road , Belen NM 87002. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. New Mexico Department Of Health can be contacted via phone (505) 864-4015, or through Wagemann, Dianne via phone (505) 222-0903.

Contact Information

Primary practice address
84 Estancia Road Belen NM 87002
Phone: (505) 864-4015
Fax: (505) 841-5316
Website:
Map and Directions
Authorized official contact:
Name: Wagemann, Dianne
Phone: (505) 222-0903

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 5240 New Mexico

Profile Details

NPI number 1124189048
LBN Legal business name New Mexico Department Of Health
DBA Doing business as Los Lunas Community Program
Authorized official Wagemann, Dianne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124189048 NPPES
New Mexico MEDICAID M2402

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