State Of New Mexico
LBN: State Of New Mexico
State Of New Mexico is an health care organization with primary practice located at 3695 Hot Springs Blvd , Las Vegas NM 87701-9549. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Nursing Service Providers / Registered Nurse. Behavioral Health & Social Service Providers / Social Worker is the primary health care specialty.
State Of New Mexico can be contacted via phone (505) 454-2254, or through Jaramillo, Charles R. via phone (505) 454-2306.
Contact Information
Primary practice address
3695 Hot Springs Blvd
Las Vegas NM 87701-9549
Phone: (505) 454-2254
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Nursing Service Providers / Registered Nurse | 163W00000X |
Profile Details
| NPI number | 1437363678 |
|---|---|
| LBN Legal business name | State Of New Mexico |
| DBA Doing business as | |
| Authorized official | Jaramillo, Charles R. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jun 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437363678 | NPPES |
| New Mexico | MEDICAID | D0769 |
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