New Mexico Department Of Health in Belen - Intermediate Care Facility, Intellectual Disabilities

New Mexico Department Of Health - NPI 1124189048

New Mexico Department Of Health is a Intermediate Care Facility, Intellectual Disabilities in Belen, New Mexico. New Mexico Department Of Health practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for New Mexico Department Of Health is 1124189048. The last update date is 2020-08-22.

New Mexico Department Of Health's current location address is 84 Estancia Road, Belen, New Mexico. You can contact this provider via phone number 5058644015 and fax number 5058415316. The mailing address for New Mexico Department Of Health is 84 Estancia Road, Belen, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization New Mexico Department Of Health
Address 84 Estancia Road, Belen, New Mexico
Phone Number 5058644015
Fax Number 5058415316
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Wagemann Dianne
Telephone Number 5052220903

NPI Number Detail

NPI Number 1124189048
Provider Enumeration Date 2006-12-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 84 Estancia Road
City Belen
State New Mexico (NM)
Post Code 87002
Phone Number 5058644015
Fax Number 5058415316

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 5240
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M2402 NM --

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FAQs about New Mexico Department Of Health

What is the unique identifier code issued to New Mexico Department Of Health by the Centers for Medicare & Medicaid Services?

The New Mexico Department Of Health has been assigned the NPI (National Provider Identifier) 1124189048. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where New Mexico Department Of Health is located?

The New Mexico Department Of Health is situated at the following address: 84 Estancia Road, Belen, NM, 87002.

What is the New Mexico Department Of Health's specialty and taxonomy code?

The New Mexico Department Of Health's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date was the 1124189048 assigned to New Mexico Department Of Health?

The New Mexico Department Of Health was issued its 1124189048 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding New Mexico Department Of Health, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to New Mexico Department Of Health, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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