Our Lady Of Mount Carmel in Gallup - Psychiatric Residential Treatment Facility
Our Lady Of Mount Carmel - NPI 1962569640
Our Lady Of Mount Carmel is a Psychiatric Residential Treatment Facility in Gallup, New Mexico. Our Lady Of Mount Carmel practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Our Lady Of Mount Carmel is 1962569640. The last update date is 2020-08-22.
Our Lady Of Mount Carmel's current location address is 300 Mount Carmel Ave, Gallup, New Mexico. You can contact this provider via phone number 5057229411. The mailing address for Our Lady Of Mount Carmel is 300 Mount Carmel Ave, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Our Lady Of Mount Carmel |
|---|---|
| Address | 300 Mount Carmel Ave, Gallup, New Mexico |
| Phone Number | 5057229411 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Holden Marie Rose |
| Credentials | NHA |
| Telephone Number | 5057229411 |
NPI Number Detail
| NPI Number | 1962569640 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 300 Mount Carmel Ave |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873017411 |
| Phone Number | 5057229411 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | RTC#4372 |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| VNM30195 | NM | VALUE OPTIONS VENDOR ID | |
| NM600391 | NM | VALUE OPTIONS PROVIDER # | |
| RTC#4372 | NM | STATE OF NM LICENSE # | |
| M1001 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Our Lady Of Mount Carmel by the Centers for Medicare & Medicaid Services?
The Our Lady Of Mount Carmel has been assigned the NPI (National Provider Identifier) 1962569640 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Our Lady Of Mount Carmel is physically located?
The Our Lady Of Mount Carmel is situated at the following address: 300 Mount Carmel Ave, Gallup, NM 873017411.
What is Our Lady Of Mount Carmel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Our Lady Of Mount Carmel is Psychiatric Residential Treatment Facility, and the taxonomy code that categorizes this field of expertise is 323P00000X.
On what date did Our Lady Of Mount Carmel receive its 1962569640 assignment from the Centers for Medicare & Medicaid Services?
The Our Lady Of Mount Carmel was assigned its 1962569640 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Our Lady Of Mount Carmel's details last updated?
The information pertaining to the Our Lady Of Mount Carmel, including its address, specialty, and other details, was most recently updated on 2020-08-22.