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Contact Information

SADIE L SMITH-MCDANIEL
101 E BROADWAY AVE
BLOOMFIELD, NM87413-6235
 Phone: 505-330-8220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SADIE L SMITH-MCDANIEL

NPI Number 1649704925
LBN Legal business name SADIE L SMITH-MCDANIEL
Authorized official SADIE SMITH-MCDANIEL - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/13/2017
Last updated 06/10/2021 - About 5 years ago
Identifiers
NM License # C-09871
NM Medicaid 51331764
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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