NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C. (NPI# 1366712283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366712283 |
| Entity Type | Organization |
| Organization Name | NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C. |
| Practice Address |
3300 Box Canyon Ave Suite A Gallup NM 87301-6940 |
| Mailing Address |
1500 S Second St Suite A Gallup NM 87301-5862 |
| Practice Telephone | 5058790723 |
| Practice Fax Number | 5057262402 |
| Mailing Telephone | 5058790723 |
| Mailing Fax Number | 5057262402 |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |
| Authorized Official Name | DR. RICHARD K LAUGHTER (PRESIDENT) |
| Authorized Official Telephone | 5058790723 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MD2008-0055 | NM | Residential Treatment Facilities |
| N | 324500000X | Substance Abuse Rehabilitation Facility | 11959 | NV | Residential Treatment Facilities |
| Y | 283Q00000X | Psychiatric Hospital | MD2008-0055 | NM | Hospitals |
| Street Address |
3300 BOX CANYON AVE SUITE A |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-6940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801134325 | Unm Hospital | Psychiatric Hospital | 9425 Allande Rd Ne, Albuquerque, NM 87109-6617 | 2013-01-17 |
| 1427330679 | Behavioral Health Services of New Mexico LLC | Psychiatric Hospital | 1525 N Renaissance Blvd Ne, Albuquerque, NM 87102-6827 | 2011-09-14 |
| 1144431842 | Mesilla Valley Hospital | Psychiatric Hospital | 1120 Tamony Ln, 1120 Tamony Lane, Las Cruces, NM 88007-6948 | 2007-05-24 |
| 1962612010 | Mesilla Valley Hospital | Psychiatric Hospital | 209 Ristra St, Mesquite, NM 88048-9356 | 2007-05-23 |
| 1740490960 | Mesilla Valley Hospital | Psychiatric Hospital | 635 Weinrich Rd, Las Cruces, NM 88007-4840 | 2007-05-23 |
| 1689654451 | Peak Behavioral Health Services LLC | Psychiatric Hospital | 5065 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-01-18 |
| 1215341839 | Audra Lynn Montoya | Psychiatric Hospital | 700 Friedman Ave, 3695 Hot Springs, Las Vegas, NM 87701-4231 | 2014-06-12 |
| 1093079303 | Haven Behavioral Services of Albuquerque, LLC | Psychiatric Hospital | 5400 Gibson Blvd Se, 4th Floor, Albuquerque, NM 87108-4729 | 2012-07-02 |
| 1366710956 | Unm Hospital | Psychiatric Hospital | 2600 Marble Ne, Albuquerque, NM 87131 | 2011-12-09 |
| 1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
| Find all providers with the same taxonomy | ||||
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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.