ROBERT F. KENNEDY CHARTER HIGH SCHOOL NPI 1013190610

NPI Information

NPI: 1013190610
Provider Name: ROBERT F. KENNEDY CHARTER HIGH SCHOOL
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Doing Business As: ROBERT F. KENNEDY SCHOOL BASED HEATH CENTER
CLIA Number: 32D2239459
Address: 4300 BLAKE SW
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 243-1118

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NPI Details

ROBERT F. KENNEDY CHARTER HIGH SCHOOL is a clinic center in Albuquerque, NM. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ROBERT F. KENNEDY CHARTER HIGH SCHOOL NPI is 1013190610. The provider is registered as an organization entity type.
The provider Is Doing Business As Robert F. Kennedy School Based Heath Center.

The provider's business location address is:

4300 BLAKE SW
ALBUQUERQUE, NM
ZIP 87121
Phone: (505) 243-1118
Fax: (505) 242-7444

The provider's authorized official is Bonnie K. Kaueman .
The authorized official title is Robert. F. Kennedy Sbhc Coordinator and has the following contact phone number (505) 239-7589.

The CLIA number assigned to this NPI record is 32D2239459 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2007 and was last updated on 3/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		3201078041	NEW MEXICO	No
2	3336C0002X	Pharmacy	Clinic Pharmacy	CL00D110644	NEW MEXICO	No
3	251S00000X	Community/Behavioral Health			NEW MEXICO	No
4	261Q00000X	Clinic/Center			NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1C01	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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