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TAOS COUNTY ARC NPI 1376695387

NPI Profile

NPI: 1376695387
Provider Name: TAOS COUNTY ARC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
1030 SALAZAR RD
TAOS, NM
ZIP 87571
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Phone: (505) 758-4274

TAOS COUNTY ARC is a healthcare provider in Taos, 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.). TAOS COUNTY ARC NPI is 1376695387. The provider is registered as an organization entity type.

The provider's business location address is:

1030 SALAZAR RD
TAOS, NM
ZIP 87571
Phone: (505) 758-4274
Fax: (505) 758-1680

The provider's authorized official is Jose R Rodriguez .
The authorized official title is Executive Director and has the following contact phone number (505) 758-4274.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 7/8/2007.

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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
1D1065OTHERNEW MEXICOMEDICAID & WAIVER
2E7255OTHERNEW MEXICOMEDICAID EPSDT

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: 5/12/2019

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