TIGER DEN WELLNESS CENTER (NPI# 1962730010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962730010 |
Entity Type | Organization |
Organization Name | TIGER DEN WELLNESS CENTER |
Practice Address |
1535 Tiger Circle Raton NM 87740 |
Mailing Address |
P.o. Box 927 Las Vegas NM 87701 |
Practice Telephone | 5754453641 |
Practice Fax Number | 5754458641 |
Mailing Telephone | 5054262262 |
Mailing Fax Number | 5054541473 |
Enumeration Date | 2009-12-01 |
Last Update Date | 2016-02-11 |
Authorized Official Name | DR. JAMES ADRIAN ABREU (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5054543523 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251300000X | Local Education Agency (LEA) | CL00010535 | NM | Agencies |
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
Street Address |
1535 TIGER CIRCLE |
City | RATON |
State | NM |
Zip Code | 87740 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811212004 | Raton Municipal School District #11 | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2010-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
1063660728 | Edwin Grant Scott Jr. | Pharmacist | 955 S. Second St., Raton, NM 87740 | 2008-09-05 |
Find all providers in zip 87740 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
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1366930380 | Nor-lea Hospital District | Clinic/Center | 800 N Jefferson St Bldg Shch, Hobbs, NM 88240 | 2018-04-25 |
1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
1396104964 | Mora Valley Community Health Services, Inc. | Clinic/Center | 10 Ranger Dr, Mora, NM 87732 | 2016-02-11 |
1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
1740553734 | Presbyterian Medical Services | Clinic/Center | #50 County Road 13, Cuba, NM 87013 | 2012-02-22 |
1124331103 | The Community Foundation of Southern New Mexico | Clinic/Center | 301 S Church St Ste H, Las Cruces, NM 88001-3568 | 2010-07-20 |
1720305188 | West Las Vegas Public Schools | Clinic/Center | 1024 South Pacific, Las Vegas, NM 87701-3495 | 2010-04-26 |
1801021670 | Communtiy Action Agency of Southern N.m., Inc. | Clinic/Center | 1301 Washington St., Anthony, NM 88021-8846 | 2009-05-22 |
1114161510 | Dulce Independent Schools | Clinic/Center | 125 Hawks Dr, Dulce, NM 87528-0547 | 2009-04-29 |
1245470061 | The Community Foundation of Southern New Mexico | Clinic/Center | 1755 El Paseo, Las Cruces High School - Based Health Center, Las Cruces, NM 88011 | 2009-03-06 |
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.