STATE OF NEW MEXICO


Address: 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549
Phone: 5054542183

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PK 2056964 01
NM 61788 05

Other Provider/Organization Names

Other Name Type Code
NEW MEXICO BEHAVIORAL HEALTH INSTITUE AT LAS VEGAS Doing Business As Name - 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
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

Office Location

Street Address 3695 HOT SPRINGS BLVD
City LAS VEGAS
State NM
Zip Code 87701-9549

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City LAS VEGAS
Zip Code 87701

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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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