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Contact Information

GOODWILL INDUSTRIES OF N.M.
5000 SAN MATEO BLVD NE
ALBUQUERQUE, NM87109-2426
 Phone: 505-881-6401
 Fax: 505-884-3157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for GOODWILL INDUSTRIES OF N.M.

NPI # 1780735639
LBN Legal business name GOODWILL INDUSTRIES OF N.M.
Authorized official LOIS MAREK - (ADMINISTRATIVE COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM Medicaid D0471
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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