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Contact Information

ARCA - PARK
1120 LOUISIANA BLVD SE
ALBUQUERQUE, NM87108-5009
 Phone: 505-332-6814
 Fax: 505-332-6800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for ARCA - PARK

NPI Number 1740325588
LBN Legal business name ARCA - PARK
Authorized official VNCE SMITH - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2007
Last updated 06/04/2021 - About 5 years ago
Identifiers
NM License # 5021
NM Medicaid M5013
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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