EL ROCKY MOUNTAIN MANAGEMENT & SERVICES LLC NPI 1326136532

NPI Information

NPI: 1326136532
Provider Name: EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC

Doing Business As: PATHWAY HOUSE RTC & IOP

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
712 RENCHER ST
316 WEST 7TH STREET
CLOVIS, NM
ZIP 88101
Phone: (505) 763-5003
Get Directions

EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC is a community based residential treatment facility mental illness in Clovis, NM. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. EL ROCKY MOUNTAIN MANAGEMENT & SERVICES, LLC NPI is 1326136532. The provider is registered as an organization entity type.
The provider Is Doing Business As Pathway House Rtc & Iop.

The provider's business location address is:

712 RENCHER ST
316 WEST 7TH STREET
CLOVIS, NM
ZIP 88101-560
Phone: (505) 763-5003
Fax: (505) 762-2815

The provider's authorized official is Eugene D Lovato .
The authorized official title is Ceo/owner and has the following contact phone number (505) 762-6091.

The enumeration date for this NPI number is 10/11/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes
2	1041C0700X	Social Worker	Clinical	X
3	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	X

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	M1703	MEDICAID	NEW MEXICO
2	NM600401	OTHER	NEW MEXICO	VALUE OPTION ID #

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

NPI Synchronization or Removal

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