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SANTA FE RECOVERY CENTER INC NPI 1447265160


NPI Information

NPI: 1447265160
Provider Name: SANTA FE RECOVERY CENTER INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
2504 CAMINO ENTRADA
SANTA FE, NM
ZIP 87507
Phone: (505) 471-4985
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SANTA FE RECOVERY CENTER INC is a substance abuse rehabilitation facility in Santa Fe, 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. SANTA FE RECOVERY CENTER INC NPI is 1447265160. The provider is registered as an organization entity type.

The provider's business location address is:

2504 CAMINO ENTRADA
SANTA FE, NM
ZIP 87507-851
Phone: (505) 471-4985
Fax: (505) 471-6084

The provider's authorized official is Lou Duran .
The authorized official title is Credentialing And Billing and has the following contact phone number (505) 270-3966.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/25/2023.


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
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation Facility5382NEW 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
178172543MEDICAIDNEW 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

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