Greater Santa Rosa Council On Alcoholism in Tucumcari - Community/behavioral Health
Greater Santa Rosa Council On Alcoholism - NPI 1962580175
Greater Santa Rosa Council On Alcoholism is a Community/behavioral Health in Tucumcari, New Mexico. Greater Santa Rosa Council On Alcoholism practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Greater Santa Rosa Council On Alcoholism is 1962580175. The last update date is 2020-08-22.
Greater Santa Rosa Council On Alcoholism's current location address is 419 S 2nd St, Tucumcari, New Mexico. You can contact this provider via phone number 5054613572 and fax number 5054613572. The mailing address for Greater Santa Rosa Council On Alcoholism is 419 S 2nd St, Tucumcari, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Greater Santa Rosa Council On Alcoholism |
|---|---|
| Address | 419 S 2nd St, Tucumcari, New Mexico |
| Phone Number | 5054613572 |
| Fax Number | 5054613572 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Moya Leonard Ralph |
| Credentials | LISW |
| Telephone Number | 5054613572 |
NPI Number Detail
| NPI Number | 1962580175 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 419 S 2nd St |
|---|---|
| City | Tucumcari |
| State | New Mexico (NM) |
| Post Code | 884012859 |
| Phone Number | 5054613572 |
| Fax Number | 5054613572 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | LISW 1041CO7 |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| I0930 | NM | LISW | |
| NMA3588 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Greater Santa Rosa Council On Alcoholism by the Centers for Medicare & Medicaid Services (CMS)?
The Greater Santa Rosa Council On Alcoholism has been assigned the NPI (National Provider Identifier) 1962580175. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Greater Santa Rosa Council On Alcoholism is physically located?
The Greater Santa Rosa Council On Alcoholism is physically situated at the following address: 419 S 2Nd St, Tucumcari, NM, 884012859.
What is the area of specialization for Greater Santa Rosa Council On Alcoholism, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Greater Santa Rosa Council On Alcoholism is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did Greater Santa Rosa Council On Alcoholism receive its 1962580175 assignment from the Centers for Medicare & Medicaid Services?
The Greater Santa Rosa Council On Alcoholism was assigned its 1962580175 on 2006-11-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Greater Santa Rosa Council On Alcoholism, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Greater Santa Rosa Council On Alcoholism, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.