1982730669 STATE OF NEW MEXICO
Long Term Care Hospital
Reactivated
Basic Information
- Organization Name
- STATE OF NEW MEXICO
- Enumeration Date
- February 26, 2007
- Last Update
- December 12, 2024
- Deactivation Date
- February 13, 2017
- Reactivation Date
- February 22, 2017
- Authorized Official
- SHERRI BAYS
CFO
Phone: (575) 537-8606
Practice Location
- Address
- 41 FORT BAYARD ROAD
SANTA CLARA, NM 88026 - Phone
- (575) 537-8600
- Fax
- (575) 537-8869
Mailing Address
- Address
- PO BOX 293
SANTA CLARA, NM 880260293 - Phone
- (575) 537-8600
- Fax
- (575) 537-3753
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Nursing Facility/Intermediate Care Facility | N/A | N/A | No |
| Skilled Nursing Facility | 314000000X | Skilled Nursing Facility | 5011 | NM | No |
| Long Term Care Hospital | 282E00000X | Long Term Care Hospital | 5011 | NM | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014 | 01 | NM | MOLINA HEALTHCARE |
| 51972786 | 05 | NM | N/A |
| 50716 | 05 | NM | N/A |
| NM00N526 | 01 | NM | BLUE CROSS BLUE SHIELD |
| 3204574 | 01 | NM | N.A.B.P. IDENTIFIER # |
| AL3362097 | 01 | NM | D.E. A. IDENTIFIER NUMBER |
Frequently Asked Questions
What is STATE OF NEW MEXICO's NPI number?
STATE OF NEW MEXICO's NPI number is 1982730669.
Which doctor has NPI number 1982730669?
The doctor with NPI number 1982730669 is STATE OF NEW MEXICO.
What is STATE OF NEW MEXICO's practice address?
STATE OF NEW MEXICO's practice address is 41 FORT BAYARD ROAD, SANTA CLARA, NM, 88026.
Which doctor practices at 41 FORT BAYARD ROAD, SANTA CLARA, NM, 88026?
STATE OF NEW MEXICO practices at 41 FORT BAYARD ROAD, SANTA CLARA, NM, 88026.
What is STATE OF NEW MEXICO's mailing address?
STATE OF NEW MEXICO's mailing address is PO BOX 293, SANTA CLARA, NM, 880260293.
What is STATE OF NEW MEXICO's phone number?
STATE OF NEW MEXICO's phone number is (575) 537-8600.
Who is (575) 537-8600?
(575) 537-8600 is the phone number for STATE OF NEW MEXICO.
What is STATE OF NEW MEXICO's specialty?
STATE OF NEW MEXICO's specialty is Long Term Care Hospital.
What type of doctor is STATE OF NEW MEXICO?
STATE OF NEW MEXICO is a Long Term Care Hospital.
Is STATE OF NEW MEXICO a Long Term Care Hospital?
Yes, STATE OF NEW MEXICO is a Long Term Care Hospital.
Is STATE OF NEW MEXICO still practicing?
Yes, STATE OF NEW MEXICO has reactivated their practice and is currently practicing.
Is STATE OF NEW MEXICO accepting new patients?
STATE OF NEW MEXICO may be accepting new patients. Please call their office at (575) 537-8600 to inquire about availability.
Is NPI 1982730669 still active?
Yes, NPI 1982730669 has been reactivated and is currently active.
Where does STATE OF NEW MEXICO practice?
STATE OF NEW MEXICO practices in SANTA CLARA, NM.