Provider Type Icon

PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES NPI 1326195769


NPI Information

NPI: 1326195769
Provider Name: PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
608 REILLY AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 443-4303
Get Directions

PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES is a developmental disabilities clinic center in Farmington, 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.). PMS DBA ROUNDTREE CHILDRENS' DEVELOPMENT SERVICES NPI is 1326195769. The provider is registered as an organization entity type.

The provider's business location address is:

608 REILLY AVE
FARMINGTON, NM
ZIP 87401-634
Phone: (505) 443-4303
Fax: (505) 443-8311

The provider's authorized official is Doug Smith .
The authorized official title is Executive Vice President and has the following contact phone number (505) 982-5565.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 4/7/2022.


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 DisabilitiesNEW MEXICOYes

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
1E7132MEDICAIDNEW 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.