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Contact Information

STATE OF NEW MEXICO-ALTSD
2550 CERRILLOS ROAD
SANTA FE, NM87505
 Phone: 505-476-4577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for STATE OF NEW MEXICO-ALTSD

NPI Number 1376089672
LBN Legal business name STATE OF NEW MEXICO-ALTSD
Authorized official CARLOS MOYA - (DIVISION DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2017
Last updated 01/10/2017 - About 9 years ago
Identifiers n/a
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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