SIERRA VISTA HOSPITAL 69 (NPI# 1205893377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205893377 |
| Entity Type | Organization |
| Organization Name | SIERRA VISTA HOSPITAL 69 |
| Other Organization Name | SIERRA VISTA COUNSELING CENTER |
| Practice Address |
800 East Ninth Street Truth Or Consequences NM 87901 |
| Practice Telephone | 5058942111 |
| Practice Fax Number | 5058947658 |
| Mailing Telephone | 5058942111 |
| Mailing Fax Number | 5058947658 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-06-22 |
| Authorized Official Name | MRS. DOMENICA M RUSH (CEO) |
| Authorized Official Telephone | 5058942111 |
| Is Organization Subpart | Y |
| Parent Organization Name | SIERRA VISTA HOSPITAL 69 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 34722751 | 05 |
| Other Name | Type Code |
|---|---|
| Sierra Vista Counseling Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959506 | Sierra Vista Hospital 69 | Family Medicine | 600 Butte Blvd, Elephant Butte, NM 87935 | 2017-08-28 |
| 1801365317 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, T Or C, NM 87901-1954 | 2018-11-14 |
| 1689638942 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-04-13 |
| 1760446009 | Sierra Vista Hospital 69 | General Acute Care Hospital | 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 | 2006-04-13 |
| Street Address |
800 EAST NINTH STREET |
| City | TRUTH OR CONSEQUENCES |
| State | NM |
| Zip Code | 87901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225093792 | David C Kunz | Family Medicine | 800 East Ninth Street, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2006-04-19 |
| 1164645149 | Ronald Kent Nestle | Counselor | 800 East Ninth Street, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2007-04-10 |
| 1457426645 | Jeffrey Harnden White | Nurse Anesthetist, Certified Registered | 800 East Ninth Street, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2006-11-22 |
| 1437116662 | Sierra Vista Hospital Ambulance | Ambulance | 800 East Ninth Street, Truth Or Consequences, NM 87901 | 2006-05-01 |
| 1184689150 | Carolyn J Bard | Counselor | 800 East Ninth Street, Sierra Vista Hospital Counseling Center, Truth Or Consequences, NM 87901 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548769011 | Michele Foss | Social Worker | 801 Smith Ave, T Or C, NM 87901 | 2018-02-09 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1750837316 | Klanese Krystal Hatley | Occupational Therapy Assistant | 180 N. Date Street, T Or C, NM 87901 | 2016-09-01 |
| 1932513025 | Karen Grace Gullett | Registered Nurse | 800 East Ninth Ave, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2014-06-17 |
| 1306269824 | Mary Louise Masingale | Case Manager/Care Coordinator | 1714 Carrie St., Truth Or Consequences (t. Or C), NM 87901 | 2014-02-04 |
| 1548402555 | Faustino C. Froilan | Internal Medicine | 800 East Ninth Avenue, Sierra Vista Hospital, Truth Or Consequences, NM 87901 | 2009-04-06 |
| 1285874735 | Lesley Jo Ping | Occupational Therapy Assistant | 1400 Silver St., Torc, NM 87901 | 2009-02-24 |
| 1437205978 | Bernie Hewett | Ophthalmology | 518 Date, Truth Or Consequences, NM 87901 | 2007-01-26 |
| 1497806764 | Ambercare Medical Supply Company. | Durable Medical Equipment & Medical Supplies | 908 N Date St, T Or C, NM 87901 | 2007-01-15 |
| 1831285568 | Constance Mae Moore | Chiropractor | 310 N. Broadway, Truth Or Consequences, NM 87901 | 2006-10-04 |
| Find all providers in zip 87901 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1699242313 | Skelton Counseling and Consulting, LLC | Clinic/Center | 754 Patton Dr, Gallup, NM 87301-4784 | 2018-10-31 |
| 1821575671 | La Ventana Behavioral Health, LLC | Clinic/Center | 2801 Missouri Ave Ste 9, Las Cruces, NM 88011-5061 | 2018-07-24 |
| Find all providers with the same taxonomy | ||||
| City | TRUTH OR CONSEQUENCES |
| Zip Code | 87901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.