MR. TIMOTHY W. BASHA


Address: 1613 Juniper Dr., Alamogordo, NM 88310
Phone: 5754958098

MR. TIMOTHY W. BASHA (NPI# 1851788798) 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) 1851788798
Entity Type Individual
Full Name MR. TIMOTHY W. BASHA
Credential LADAC
Practice Address 1613 Juniper Dr.
Alamogordo
NM 88310
Mailing Address Po Box 1088
Alamogordo
NM 88311-1088
Practice Telephone 5754958098
Practice Fax Number 8665218354
Mailing Telephone 5754958098
Mailing Fax Number 8665218354
Enumeration Date 2015-04-17
Last Update Date 2015-04-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0147651 NM Behavioral Health & Social Service Providers

Office Location

Street Address 1613 JUNIPER DR.
City ALAMOGORDO
State NM
Zip Code 88310

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1285249326 Diana Cano Behavior Technician 27 N. Yucca Ave, Alamogordo, NM 88310 2020-09-15
1952802787 Kinfe H Alemnugus Pharmacist 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 2018-02-27
1134666902 Hillary Elizabeth Hunter Behavior Technician 1908 Snow Dr, Alamogordo, NM 88310 2017-01-31
1285097774 Adrienne Nicole Martin Physician Assistant 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 2016-04-01
1487022919 Crystal Jackson Behavior Technician 3205 Shawnee Trl, Alamogordo, NM 88310 2015-09-15
1215331186 Keith Edward Gerber Case Manager/Care Coordinator 1900 East Tenth Street, Alamogordo, NM 88310 2014-10-21
1710306691 Austin Reed Pharmacist 2401 Indian Wells, Alamogordo, NM 88310 2014-04-08
1760821805 Dollar Cab Company Taxi 1220 Brooks Ave., Alamogordo, NM 88310 2013-06-21
1932544319 Peter Allan Lock Physical Therapist 1011 A 10th Street, Alamogordo, NM 88310 2013-04-30
1477895134 Brian Edward Hayes Case Manager/Care Coordinator 1900 East 10th Street, Alamogordo, NM 88310 2013-03-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245692938 Trish Pascale Counselor 718 10th St, Ste C, Alamogordo, NM 88310-6777 2016-03-22
1669710059 Sylvia Anna Aronson Counselor 1301 Iowa Ave, Alamogordo, NM 88310-5743 2013-01-21
1801169909 Michael J Hopkin Counselor 1208 Maple Dr, Alamogordo, NM 88310-4916 2012-02-21
1730417627 Sherry Lou Hettiger Counselor 1200 N White Sands Blvd Ste 112a, Alamogordo, NM 88310-6774 2009-12-03
1285873745 Kimberly Michelle Jordan Counselor 1215 New York Ave, Alamogordo, NM 88310-6727 2009-02-06
1174652507 John Patrick Baldonado Counselor 1601 10th St Ste C, Alamogordo, NM 88310-5046 2007-03-02
1184124349 Lucas Armon Boyer Counselor 100 E 1st St, Alamogordo, NM 88310-6504 2018-02-14
1841641461 Esther Leigh Hein Counselor 1301 Cuba Ave, Alamogordo, NM 88310-5727 2016-06-24
1538449814 Joellyn Pauline Magoosh Counselor 1301 Cuba Ave, Alamogordo, NM 88310-5727 2011-08-18
1346564143 Lucila Aranda Santillan Counselor 1601 10th St, Alamogordo, NM 88310-5046 2010-03-23
Find all providers in ALAMOGORDO

Competitor

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City ALAMOGORDO
Zip Code 88310

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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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