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Contact Information

VALENCIA COMMUNITY FOR CHANGE
431 LUNA AVE
LOS LUNAS, NM87031
 Phone: 505-359-4700
 Fax: 186-645-9822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for VALENCIA COMMUNITY FOR CHANGE

NPI # 1720323033
LBN Legal business name VALENCIA COMMUNITY FOR CHANGE
Authorized official CHRISTINA MARES - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2012
Last updated 11/28/2012 - About 14 years ago
Identifiers
NM Medicaid 73576336
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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