CHIMAYO YOUTH CONSERVATION CORPS (NPI# 1669535837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669535837 |
| Entity Type | Organization |
| Organization Name | CHIMAYO YOUTH CONSERVATION CORPS |
| Practice Address |
Cr103, Manzana Center-building 3 Chimayo NM 87522-1027 |
| Mailing Address |
Po Box 1027 Chimayo NM 87522-1027 |
| Practice Telephone | 5053511456 |
| Practice Fax Number | 5053511556 |
| Mailing Telephone | 5053511456 |
| Mailing Fax Number | 5053511556 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SUELLEN STRALE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5053511456 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
CR103, MANZANA CENTER-BUILDING 3 |
| City | CHIMAYO |
| State | NM |
| Zip Code | 87522-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126532 | Isaac Andres Serrano | Behavior Technician | County Rd 102 Houes 58b, Chimayo, NM 87522 | 2020-02-20 |
| 1659926764 | Alyssia Ramona Baca | Behavior Technician | 324 Juan Medina Road, Chimayo, NM 87522 | 2019-08-06 |
| 1851625651 | Miguel Caro | Counselor | Cr 103, Building 3, Manzana Center, Chimayo, NM 87522 | 2009-09-25 |
| 1215260898 | Darren Anthony Griego | Counselor | Cr 103, Manzana Center, Building 3, Chimayo, NM 87522 | 2009-09-14 |
| 1942365176 | Interfaith-leap Inc. | Health Maintenance Organization | John Hyson Dr., Chimayo, NM 87522 | 2006-12-27 |
| 1861726226 | Suellen Strale | Counselor | Cr 103, Building 3, Chimayo, NM 87522 | 2009-10-01 |
| 1437482015 | Pedro Ismael Chavez | Counselor | Cr 103, Manzana Center, Building 3, Chimayo, NM 87522 | 2009-09-14 |
| 1386849610 | Leann R Martinez | Counselor | Cty Rd 89 #65, Chimayo, NM 87522-0746 | 2007-06-18 |
| 1710212006 | Peter Cosby Vanlent | Counselor | 1 John Hyson Dr. Bld 4,5,6, Chimayo, NM 87522-0757 | 2009-10-05 |
| 1841524204 | James Edward Charles Sr. | Counselor | Hc 64 Box 23c, Chimayo, NM 87522-9715 | 2009-10-01 |
| Find all providers in zip 87522 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1922476084 | Insight Educational Services | Voluntary or Charitable | 2155 Candelero St, Santa Fe, NM 87505-5649 | 2015-09-07 |
| 1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
| 1043507320 | Footprints Ministry | Voluntary or Charitable | 231 Sierra Drive Se, Suite 4, Albuquerque, NM 87108 | 2011-07-07 |
| 1710284583 | Sandia Home Health Care, LLC | Voluntary or Charitable | 10410 Sierra Bonita Ave Ne, Albuquerque, NM 87111 | 2011-02-14 |
| 1750616280 | Asthma Allies | Voluntary or Charitable | 6020 Maddux Pl Nw, Albuquerque, NM 87114-4604 | 2009-10-17 |
| 1134350259 | Mental Health Association of New Mexico | Voluntary or Charitable | 128 Bridge St, Las Vegas, NM 87701-3427 | 2009-08-06 |
| 1356572218 | Interagency Forensic Network | Voluntary or Charitable | 7831 Hermanson Place Ne, Albuquerque, NM 87110 | 2009-07-27 |
| 1215172887 | Center of Protective Environment, Inc. | Voluntary or Charitable | 1204 Mechem Dr, Suite 11, Ruidoso, NM 88345-7213 | 2008-12-10 |
| 1497913610 | The Oasis Children's Advocate Center | Voluntary or Charitable | 1523 W 13th St, Clovis, NM 88101-5568 | 2008-05-23 |
| 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.