STATE OF NEW MEXICO


Address: 2040 S Pacheco St, Santa Fe, NM 87505-5472
Phone: 5054768868

STATE OF NEW MEXICO (NPI# 1508914896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508914896
Entity Type Organization
Organization Name STATE OF NEW MEXICO
Other Organization Name CHILDREN'S MEDICAL SERVICES
Practice Address 2040 S Pacheco St
Santa Fe
NM 87505-5472
Practice Telephone 5054768868
Practice Fax Number 5054768896
Mailing Telephone 5054768868
Mailing Fax Number 5054768896
Enumeration Date 2007-01-05
Last Update Date 2008-06-26
Authorized Official Name MS. LYNN CHRISTIANSEN (PROGRAM DIRECTOR)
Authorized Official Telephone 5054768851
Authorized Official Credential LMSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NM 00049023 05
NM 64372766 05

Other Provider/Organization Names

Other Name Type Code
Children's Medical Services Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740659150 State of New Mexico Pharmacy 41 Fort Bayard Rd, Santa Clara, NM 88026 2015-09-16
1457539322 State of New Mexico Public Health or Welfare 2025 S Pacheco St, Santa Fe, NM 87505-3991 2008-02-04
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
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

Office Location

Street Address 2040 S PACHECO ST
City SANTA FE
State NM
Zip Code 87505-5472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790981967 Maternal Health Program Clinic/Center 2040 S Pacheco St, Santa Fe, NM 87505-5472 2007-06-25
1023225778 Children's Medical Services Public Health or Welfare 2040 S Pacheco St, Santa Fe, NM 87505-5472 2007-05-16
1982810909 Susan Marie Chacon Social Worker 2040 S Pacheco St, Santa Fe, NM 87505-5472 2007-05-15
1083736136 Wanicha Buraphacheep-coggins Pediatrics 2040 S Pacheco St, Nm Doh Family Planning Program, Santa Fe, NM 87505-5472 2007-04-06
1821120742 Children's Medical Services Clinic/Center 2040 S Pacheco St, Santa Fe, NM 87505-5472 2007-03-09
1497886881 Department of Health Families First Case Management 2040 S Pacheco St, Santa Fe, NM 87505-5472 2007-03-08

Providers in the same zip code

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 Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861649295 Transitional Life Counseling and Counsultation Case Management 5330 Avenue N, Santa Fe, TX 77510-8705 2008-08-27
1568678720 New Mexico New Start Case Management 603 Avenida Celaya, Santa Fe, NM 87506-3435 2007-05-15
1639397441 Intermountain Centers for Human Development Case Management 413 Grant Ave, Santa Fe, NM 87501-1301 2007-04-24
1912124835 New Mexico Aging & Long Term Case Management 2550 Cerrillos Rd, Santa Fe, NM 87505-3260 2007-04-20
1457486664 Options Services, Inc. Case Management Pojoaque Medical Center, 5 Petroglyph Circle Ste C, Santa Fe, NM 87506-0984 2007-02-21
1841348471 Keetoni Case Management, LLC Case Management 4001 Office Court Dr, Suite 407, Santa Fe, NM 87507 2007-01-08
1619040722 Children, Youth & Families Dept.-protective Services Case Management 1120 Paseo De Peralta, Pera Building, Santa Fe, NM 87501-2747 2006-11-16
1306855762 Visions Case Management Case Management 1570 Pacheco St, Ste B-7, Santa Fe, NM 87505-3937 2006-08-05
1164932240 Kimberly Sherah Riebsomer Case Management 2916 Governor Mabry Ct, Santa Fe, NM 87505-6438 2017-10-03
1861901670 Me Town Enterprises LLC Case Management 2916 Governor Mabry Ct, Santa Fe, NM 87505-6438 2017-09-25
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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