US DEPT. HEALTH & HUMAN SERVICES - USPHS INDIAN HEALTH SERVICES (NPI# 1740333160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740333160 |
| Entity Type | Organization |
| Organization Name | US DEPT. HEALTH & HUMAN SERVICES - USPHS INDIAN HEALTH SERVICES |
| Other Organization Name | NEW SUNRISE REGIONAL TREATMENT CENTER |
| Practice Address |
20 Mockingbird Dr. San Fidel NM 87049 |
| Mailing Address |
P.o. Box 219 San Fidel NM 87049 |
| Practice Telephone | 5055525500 |
| Practice Fax Number | 5055525530 |
| Mailing Telephone | 5055525500 |
| Mailing Fax Number | 5055525530 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-05-24 |
| Authorized Official Name | JANAY CEDARFACE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5055525500 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | NM | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 95715 | 05 | |
| AZ | 642985 | 05 | |
| CO | 87924277 | 05 |
| Other Name | Type Code |
|---|---|
| New Sunrise Regional Treatment Center | Doing Business As Name - Organization |
| Street Address |
20 MOCKINGBIRD DR. |
| City | SAN FIDEL |
| State | NM |
| Zip Code | 87049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669937074 | James Blythe | Pharmacist | 80 Veterens Blvd, Acoma, NM 87049 | 2019-02-11 |
| 1689185571 | Jullliene Reed-tso | Social Worker | New Sunrise Rtc 20 Mockingbird Drive, San Fidel, NM 87049 | 2017-10-18 |
| 1245635309 | Donna Enfield | Counselor | Exit 102 1/2 Mi S of I-40, San Fidel, NM 87049 | 2014-10-30 |
| 1336425826 | Jodi Gee | Pharmacist | Acl Hospital Pharmacy Dept. I-40 @ Exit 102 (acomita), San Fidel, NM 87049 | 2011-10-27 |
| 1659528354 | Elaine Little | Dietitian, Registered | Acl Phs Indian Hospital, I - 40 Exit 102, San Fidel, NM 87049 | 2008-08-25 |
| 1366612830 | Lisa Ann Cohn | Pharmacist | Interstate 40 @ Exit 102, Acl Hospital Pharmacy Dept, San Fidel, NM 87049 | 2008-03-11 |
| 1619182821 | Melissa M Salinas | Physician Assistant | Exit 102 Off I-40 Half Mile S, San Fidel, NM 87049 | 2007-05-11 |
| 1083828453 | Edwina Faye Lee | Dental Hygienist | Exit 102 Off I40, 1/2 Mi South, San Fidel, NM 87049 | 2007-05-09 |
| 1730200171 | Carol Rose Cummins | Pharmacist | Interstate 40 Exit 102, San Fidel, NM 87049 | 2007-04-03 |
| 1881727873 | Acoma Canoncito Laguna Ihs Pharmacy | Pharmacy | 1 40 Exit 203 Acomita, San Fidel, NM 87049 | 2007-03-13 |
| Find all providers in zip 87049 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505452 | Innovative Mat Solutions, LLC | Substance Abuse Rehabilitation Facility | 2215 Ambassador Rd Ne Apt 37, Albuquerque, NM 87112-2767 | 2019-12-11 |
| 1225509250 | Recovery House LLC | Substance Abuse Rehabilitation Facility | 9171 Glendale Ave Ne, Albuquerque, NM 87122-3805 | 2018-12-17 |
| 1427535251 | Full Circle Recovery | Substance Abuse Rehabilitation Facility | 3056 Frontier Ave. Ne, Albuquerque, NM 87106-8710 | 2018-07-24 |
| 1679007744 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 579 White Swan Rd, 327 Eagle Drive, Ohkay Owingeh, NM 87566 | 2017-04-17 |
| 1295154888 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 250 Shadow Mountain Rd., Taos, NM 87571 | 2014-04-10 |
| 1619269446 | The Jericho House | Substance Abuse Rehabilitation Facility | 2845 Dona Ana Rd, Las Cruces, NM 88007-5239 | 2011-05-12 |
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 1376770214 | The Consortium | Substance Abuse Rehabilitation Facility | 571 North Tenth Street, Fort Sumner, NM 88119-0427 | 2009-06-18 |
| 1386870137 | Dismas House Nm Inc. | Substance Abuse Rehabilitation Facility | 701 Candelaria Rd Nw, Albuquerque, NM 87107-2407 | 2009-06-08 |
| 1760621007 | Shadow Mountain LLC. | Substance Abuse Rehabilitation Facility | 5400 Gibson Blvd. S. E, 3rd Floor, Albuquerque, NM 87109 | 2009-02-10 |
| 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.