STATE OF NEW MEXICO (NPI# 1598966798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598966798 |
Entity Type | Organization |
Organization Name | STATE OF NEW MEXICO |
Other Organization Name | NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS |
Practice Address |
3695 Hot Springs Blvd Las Vegas NM 87701-9549 |
Practice Telephone | 5054542183 |
Practice Fax Number | 5054542182 |
Mailing Telephone | 5054542183 |
Mailing Fax Number | 5054542182 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2016-10-04 |
Authorized Official Name | DAN SMITH (PHARMACY DIRECTOR) |
Authorized Official Telephone | 5054542183 |
Authorized Official Credential | RPH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
PH00002105 | NM | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2056964 | 01 | |
NM | 61788 | 05 |
Other Name | Type Code |
---|---|
NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS | 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 |
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 |
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 |
Street Address |
3695 HOT SPRINGS BLVD |
City | LAS VEGAS |
State | NM |
Zip Code | 87701-9549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
1871156208 | Jessica Espinoza | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-22 |
1447713342 | Julie Ruby Esquibel | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-09 |
1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
1831664853 | Raquel Trujillo | Counselor | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-10-05 |
1063991057 | Lonnie C Lucero | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-08-09 |
1992290423 | Katie Hettinger | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-06-27 |
1467967190 | Andrew P Valdez | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-12-04 |
1639600208 | Larence Sanchez | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-03-24 |
1457895591 | Maria Gallardo | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2016-12-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
Find all providers in zip 87701 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942689005 | Procare Pharmacy Care LLC | Pharmacy | 7660 Dean Martin Dr, Las Vegas, NV 89139-5971 | 2015-05-22 |
1578055026 | Peter Pons Bautista | Pharmacy | 620 Shadow Ln, Pharmacy, Las Vegas, NV 89106-4194 | 2018-05-31 |
1326482456 | Concorde Treatment Center,llc | Pharmacy | 2465 E Twain Ave, Las Vegas, NV 89121-4011 | 2013-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528445053 | University of Nm Hospital Retail Pharmacy | Pharmacy | 2211 Lomas Blvd Ne, Attn: Inpatient Pharmacy, Albuquerque, NM 87106-2719 | 2015-05-05 |
1093024275 | Cibola General Hospital Phcy | Pharmacy | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2010-10-05 |
1265767800 | Nor-lea Hospital District | Pharmacy | 1600 N Main Ave, Lovington, NM 88260-2813 | 2009-10-15 |
Please comment or provide details below to improve the information on STATE OF NEW MEXICO.
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.