State Of New Mexico in Las Vegas - Clinical
State Of New Mexico - NPI 1124211404
State Of New Mexico is a Clinical in Las Vegas, New Mexico. State Of New Mexico practices all healthcare services and medical treatments related to Clinical. The NPI Number for State Of New Mexico is 1124211404. The last update date is 2007-08-21.
State Of New Mexico's current location address is 3695 Hot Springs Blvd, Las Vegas, New Mexico. You can contact this provider via phone number 5054542100. The mailing address for State Of New Mexico is 3695 Hot Springs Blvd, Las Vegas, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of New Mexico |
|---|---|
| Address | 3695 Hot Springs Blvd, Las Vegas, New Mexico |
| Phone Number | 5054542100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INTERIM AD |
|---|---|
| Authorized Official Name | Martinez Steve |
| Telephone Number | 5054542203 |
NPI Number Detail
| NPI Number | 1124211404 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2007-08-21 |
Provider Mailing Address Detail
| Address | 3695 Hot Springs Blvd |
|---|---|
| City | Las Vegas |
| State | New Mexico (NM) |
| Post Code | 877019549 |
| Phone Number | 5054542100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96296 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Of New Mexico by the Centers for Medicare & Medicaid Services?
The State Of New Mexico has been issued the NPI (National Provider Identifier) 1124211404, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where State Of New Mexico is physically located?
The State Of New Mexico is situated at the following address: 3695 Hot Springs Blvd, Las Vegas, NM 877019549.
What is the area of specialization for State Of New Mexico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of New Mexico is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the State Of New Mexico receive the assignment of its 1124211404 from the Centers for Medicare & Medicaid Services?
The State Of New Mexico was issued its 1124211404 by the Centers for Medicare & Medicaid Services on 2007-08-21.
As of what date were the State Of New Mexico's details last updated?
The information pertaining to the State Of New Mexico, including its address, specialty, and other details, was most recently updated on 2007-08-21.
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