RECOVERY SERVICES OF NEW MEXICO NPI 1962634329

NPI Information

NPI: 1962634329
Provider Name: RECOVERY SERVICES OF NEW MEXICO

Doing Business As: MEDMARK TREATMENT CENTERS FIVE POINTS

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 32D2094255

Address:
1528 FIVE POINTS RD SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 242-6919
Get Directions

RECOVERY SERVICES OF NEW MEXICO is a methadone clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. RECOVERY SERVICES OF NEW MEXICO NPI is 1962634329. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Five Points.

The provider's business location address is:

1528 FIVE POINTS RD SW
ALBUQUERQUE, NM
ZIP 87105-014
Phone: (505) 242-6919
Fax: (505) 242-6929

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 32D2094255 - other - treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 2/13/2024.

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	261QM2800X	Clinic/Center	Methadone			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	32D2076684	OTHER	NEW MEXICO	CLIA
2	25392	OTHER	NEW MEXICO	COLA
3	677558	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: 4/28/2024

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