AVALON RANCH NPI 1265024103

NPI Information

  • NPI: 1265024103
  • Provider Name: AVALON RANCH
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 106 N MESQUITE ST
    CARLSBAD, NM
    ZIP 88220
  • Phone: (575) 302-8304

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NPI Details

AVALON RANCH is a substance abuse rehabilitation facility in Carlsbad, NM. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. AVALON RANCH NPI is 1265024103. The provider is registered as an organization entity type.

The provider's business location address is:

106 N MESQUITE ST
CARLSBAD, NM
ZIP 88220-960
Phone: (575) 302-8304

The provider's authorized official is Kimberly Susan Rogge-rogers .
The authorized official title is Executive Director and has the following contact phone number (575) 302-8304.

The enumeration date for this NPI number is 2/10/2021 and was last updated on 2/10/2021.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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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