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Contact Information

SOUTHERN NEW MEXICO HUMAN DEVELOPMENT, INC.
820 HWY 478
ANTHONY, NM88021
 Phone: 505-882-5101
 Fax: 505-882-6127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for SOUTHERN NEW MEXICO HUMAN DEVELOPMENT, INC.

NPI # 1376662874
LBN Legal business name SOUTHERN NEW MEXICO HUMAN DEVELOPMENT, INC.
Authorized official VINCENT ORTEGA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/28/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM License # 3037
NM Medicaid 47639
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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