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Contact Information

CASA MILAGRO
49 CAMINO BAJO
SANTA FE, NM87508-8614
 Phone: 505-474-7684
 Fax: 505-438-4877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Assisted Living, Mental Illness

3104A0625X
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for CASA MILAGRO

NPI # 1528458114
LBN Legal business name CASA MILAGRO
Authorized official DESIREE BERNARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2015
Last updated 06/29/2021 - About 5 years ago
Identifiers
NM License # 5817
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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