Our Lady Of Mount Carmel
LBN: Our Lady Of Mount Carmel
Our Lady Of Mount Carmel is an health care organization with primary practice located at 300 Mount Carmel Ave , Gallup NM 87301-7411. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty.
Our Lady Of Mount Carmel can be contacted via phone (505) 722-9411, or through Holden, Rose Marie via phone (505) 722-9411.
Contact Information
Primary practice address
300 Mount Carmel Ave
Gallup NM 87301-7411
Phone: (505) 722-9411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X | RTC#4372 | New Mexico |
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | RTC#4372 | New Mexico |
Profile Details
| NPI number | 1962569640 |
|---|---|
| LBN Legal business name | Our Lady Of Mount Carmel |
| DBA Doing business as | |
| Authorized official | Holden, Rose Marie NHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| 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 | 1962569640 | NPPES |
| New Mexico | Other | VNM30195 | VALUE OPTIONS VENDOR ID |
| New Mexico | Other | NM600391 | VALUE OPTIONS VENDOR ID |
| New Mexico | Other | RTC#4372 | VALUE OPTIONS VENDOR ID |
| New Mexico | MEDICAID | M1001 | VALUE OPTIONS VENDOR ID |
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