FUTURA VISTA INC. NPI 1750508529

NPI Information

NPI: 1750508529
Provider Name: FUTURA VISTA INC.

Doing Business As: FUTURA VISTA GROUP HOME

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1205 JONES ST
CLOVIS, NM
ZIP 88101
Phone: (505) 763-5887
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FUTURA VISTA INC. is a mental health counselor in Clovis, NM. FUTURA VISTA INC. NPI is 1750508529. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Futura Vista Group Home.

The provider's business location address is:

1205 JONES ST
CLOVIS, NM
ZIP 88101-540
Phone: (505) 763-5887
Fax: (505) 762-9159

The provider's authorized official is William Walker .
The authorized official title is Clinical Director and has the following contact phone number (505) 607-7774.

The enumeration date for this NPI number is 4/20/2007 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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0672	NEW MEXICO	Yes

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	130187	MEDICAID	NEW MEXICO
2	NM600911	OTHER	NEW MEXICO	VALUE OPTIONS PROVIDER 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

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