TRI-COUNTY COMMUNITY SERVICES INC NPI 1912995242

NPI Information

NPI: 1912995242
Provider Name: TRI-COUNTY COMMUNITY SERVICES, INC
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
413 SIPAPU ROAD
6952
TAOS, NM
ZIP 87571
Phone: (575) 758-5857
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TRI-COUNTY COMMUNITY SERVICES, INC is a recovery care clinic center in Taos, NM. TRI-COUNTY COMMUNITY SERVICES, INC NPI is 1912995242. The provider is registered as an organization entity type.

The provider's business location address is:

413 SIPAPU ROAD
6952
TAOS, NM
ZIP 87571
Phone: (575) 758-5857
Fax: (575) 758-5860

The provider's authorized official is Rodney Gross .
The authorized official title is Executive Director and has the following contact phone number (575) 758-5857.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 10/5/2017.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	=========	NEW MEXICO	No
2	251B00000X	Case Management		3039B1	NEW MEXICO	No
3	261QR0800X	Clinic/Center	Recovery Care			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	40757	MEDICARE PIN	NEW MEXICO
2	51409	MEDICAID	NEW 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: 11/14/2023

NPI Synchronization or Removal

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