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NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C. NPI 1366712283


NPI Information

NPI: 1366712283
Provider Name: NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C.
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 32D2087922

Address:
3300 BOX CANYON AVE
SUITE A
GALLUP, NM
ZIP 87301
Phone: (505) 879-0723
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NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C. is a psychiatric hospital in Gallup, NM. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C. NPI is 1366712283. The provider is registered as an organization entity type.

The provider's business location address is:

3300 BOX CANYON AVE
SUITE A
GALLUP, NM
ZIP 87301-940
Phone: (505) 879-0723
Fax: (505) 726-2402

The provider's authorized official is Richard K Laughter .
The authorized official title is President and has the following contact phone number (505) 879-0723.

The CLIA number assigned to this NPI record is 32D2087922 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2012 and was last updated on 1/10/2012.


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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessMD2008-0055NEW MEXICONo
2324500000XSubstance Abuse Rehabilitation Facility11959NEVADANo
3283Q00000XPsychiatric HospitalMD2008-0055NEW MEXICOYes

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: 11/14/2023

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