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UNM DEVELOPMENTAL CARE PROGRAM NPI 1134260904


NPI Information

NPI: 1134260904
Provider Name: UNM DEVELOPMENTAL CARE PROGRAM
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
MSC10 5590
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131
Phone: (505) 272-3946
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UNM DEVELOPMENTAL CARE PROGRAM is a developmental disabilities clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). UNM DEVELOPMENTAL CARE PROGRAM NPI is 1134260904. The provider is registered as an organization entity type.

The provider's business location address is:

MSC10 5590
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-3946
Fax: (505) 925-4089

The provider's authorized official is Nancie Furgang .
The authorized official title is Program Operations Director and has the following contact phone number (505) 925-4080.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental Disabilities6005NEW MEXICOYes
2282NC2000XGeneral Acute Care HospitalChildren6005NEW MEXICOX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z4226MEDICAIDNEW 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: 4/28/2024

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