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Contact Information

COMPOSTELA COMMUNITY AND FAMILY CULTURAL INSTITUTE
1021 SALAZAR RD
TAOS, NM87571-8233
 Phone: 575-613-2008
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for COMPOSTELA COMMUNITY AND FAMILY CULTURAL INSTITUTE

NPI # 1003284654
LBN Legal business name COMPOSTELA COMMUNITY AND FAMILY CULTURAL INSTITUTE
Authorized official TRINIDAD ARGUELLO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2015
Last updated 09/14/2015 - About 11 years ago
Identifiers
NM License # 12732
NM License # R12314
NM Medicaid H6196
NM Medicaid MHC51409
NM Other 343511902 MEDICARE
NM Other 1841242336 NPI
NM Other 163W00000X REGISTERED NURSE R12314
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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