TIGER DEN WELLNESS CENTER NPI 1962730010

NPI Information

NPI: 1962730010
Provider Name: TIGER DEN WELLNESS CENTER
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

CLIA Number: 32D1064411

Address:
1535 TIGER CIRCLE
RATON, NM
ZIP 87740
Phone: (575) 445-3641
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TIGER DEN WELLNESS CENTER is a student health clinic center in Raton, NM. TIGER DEN WELLNESS CENTER NPI is 1962730010. The provider is registered as an organization entity type.

The provider's business location address is:

1535 TIGER CIRCLE
RATON, NM
ZIP 87740
Phone: (575) 445-3641
Fax: (575) 445-8641

The provider's authorized official is James Adrian Abreu .
The authorized official title is Executive Director and has the following contact phone number (505) 454-3523.

The CLIA number assigned to this NPI record is 32D1064411 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 2/11/2016.

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	251300000X	Local Education Agency (LEA)		CL00010535	NEW MEXICO	No
2	261QS1000X	Clinic/Center	Student Health			Yes

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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