Alvera R Upshaw in Gallup - Addiction (substance Use Disorder)
Alvera R Upshaw - NPI 1972634962
Alvera R Upshaw is a Addiction (substance Use Disorder) in Gallup, New Mexico. Alvera R Upshaw practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alvera R Upshaw is 1972634962. The last update date is 2007-07-08.
Alvera R Upshaw's current location address is 1901 Redrock Dr, Gallup, New Mexico. You can contact this provider via phone number 5058637000. The mailing address for Alvera R Upshaw is 1901 Redrock Dr, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alvera R Upshaw |
|---|---|
| Address | 1901 Redrock Dr, Gallup, New Mexico |
| Phone Number | 5058637000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LADAC |
NPI Number Detail
| NPI Number | 1972634962 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1901 Redrock Dr |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873015683 |
| Phone Number | 5058637000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 3525 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VNM00011BLC | NM | VALUE OPTIONS |
Post Comment/ Review Below
What is the Alvera R Upshaw's 1972634962?
The Alvera R Upshaw's NPI (National Provider Identifier) Number is 1972634962. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Alvera R Upshaw is located?
The Alvera R Upshaw is situated at the following address: 1901 Redrock Dr, Gallup, NM, 873015683.
What is Alvera R Upshaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Alvera R Upshaw is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
On what date did the Alvera R Upshaw receive its 1972634962 assignment from the Centers for Medicare & Medicaid Services?
The Alvera R Upshaw was assigned its 1972634962 by the Centers for Medicare & Medicaid Services on 2007-03-08.
As of what date were the details pertaining to Alvera R Upshaw last refreshed?
The information related to the Alvera R Upshaw, including its address, specialty, and other relevant details, was last updated on 2007-07-08.