STATE OF NEW MEXICO (NPI# 1457539322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457539322 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW MEXICO |
| Other Organization Name | MEDICAL ASSISTANCE DIVISION |
| Practice Address |
2025 S Pacheco St Santa Fe NM 87505-3991 |
| Mailing Address |
Po Box 2348 Santa Fe NM 87504-2348 |
| Practice Telephone | 5058273100 |
| Mailing Telephone | 5058273100 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | ROBERT STEVENS (CHIEF) |
| Authorized Official Telephone | 5058276207 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW MEXICO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Medical Assistance Division | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1982730669 | State of New Mexico | Skilled Nursing Facility | 41 Fort Bayard Road, Santa Clara, NM 88026 | 2007-02-26 |
| 1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
| 1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
| 1942287370 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2005-12-28 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
| 1578730230 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2008-05-13 |
| 1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
| 1124211404 | State of New Mexico | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2007-08-21 |
| Street Address |
2025 S PACHECO ST |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114059011 | New Mexico Department of Health | Public Health or Welfare | 1190 S Saint Francis Dr, Suite S-1150, Santa Fe, NM 87505-4173 | 2007-03-09 |
| 1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
| 1629228697 | Department of Health, Public Health Division | Public Health or Welfare | 1190 S Saint Francis Dr, S1073, Santa Fe, NM 87505-4173 | 2008-09-25 |
| 1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
| 1760676480 | Department of Health - Public Health Division | Public Health or Welfare | 1190 S Saint Francis Dr, S1073, Santa Fe, NM 87505-4173 | 2007-09-06 |
| 1851585574 | Department of Health, Public Health Division | Public Health or Welfare | 1190 S Saint Francis Dr, S1073, Santa Fe, NM 87505-4173 | 2007-09-06 |
| 1073714879 | New Mexico Sexually Transmitted Disease Prevention Program | Public Health or Welfare | 1190 S Saint Francis Dr, Suite South 1150, Santa Fe, NM 87505-4173 | 2007-05-30 |
| 1023225778 | Children's Medical Services | Public Health or Welfare | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-05-16 |
| 1740496066 | New Mexico Department of Health | Public Health or Welfare | 1190 S Saint Francis Dr, N1350, Santa Fe, NM 87505-4173 | 2007-05-15 |
| 1619197506 | New Mexico Department of Health | Public Health or Welfare | 1190 S Saint Francis Dr, Santa Fe, NM 87505-4173 | 2007-04-26 |
| Find all providers in SANTA FE | ||||
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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.