MR. ALFRED C CHAVEZ (NPI# 1891926762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891926762 |
| Entity Type | Individual |
| Full Name | MR. ALFRED C CHAVEZ |
| Credential | B.S. |
| Practice Address |
149 Camino Del Cielo Yucca Lodge Fort Bayard NM 88036 |
| Mailing Address |
Po Box 36216 Fort Bayard NM 88036-6216 |
| Practice Telephone | 5755378831 |
| Practice Fax Number | 5755373760 |
| Mailing Telephone | 5755378831 |
| Mailing Fax Number | 5755373760 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
3616 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659624211 | Alfred Chavez Jr. | Social Worker | 900 Central Ave, Bayard, NM 88023 | 2012-10-19 |
| Street Address |
149 CAMINO DEL CIELO YUCCA LODGE |
| City | FORT BAYARD |
| State | NM |
| Zip Code | 88036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124258652 | Skye Trinity Norton | Counselor | 149 Camino Del Cielo, Yucca Lodge, Fort Bayard, NM 88036 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063641819 | Nm Department of Health | Substance Abuse Rehabilitation Facility | 100 Calle De Central, Fort Bayard, NM 88036 | 2009-07-14 |
| 1215925417 | Fort Bayard Medical Center | Skilled Nursing Facility | 100 Calle El Centro, Bayard, NM 88036 | 2005-10-11 |
| 1124225339 | Kaylin S Henderson | Physical Therapist | 100 Calle El Centro, Fort Bayard, NM 88036 | 2007-06-29 |
| 1811192941 | Margaret Clark Jones | Physical Therapist | 100 Calle El Centro, Fort Bayard Medical Center Physical Therapy Department, Fort Bayard, NM 88036 | 2007-06-19 |
| 1326261397 | Joseph Patrick Jaurequi | Pharmacist | 100 Calle El Centro, Fort Bayard, NM 88036 | 2007-04-10 |
| 1265652150 | Fort Bayard Medical Center | Long Term Care Hospital | 100 Main St, Fort Bayard, NM 88036-9800 | 2007-04-26 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124258652 | Skye Trinity Norton | Counselor | 149 Camino Del Cielo, Yucca Lodge, Fort Bayard, NM 88036 | 2009-07-17 |
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|---|---|---|---|---|
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| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT BAYARD |
| Zip Code | 88036 |
Please comment or provide details below to improve the information on MR. ALFRED C CHAVEZ.
| 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.