NPIMap

Organization Active NPI

Mora Colfax Head Start

  • Case Management Agency
  • Holman, NM
National Provider Identifier
1104132976
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MORA COLFAX HEAD START
Practice address
3549 State Hwy 518
Holman, NM 87723
Phone
(575) 387-3146
Fax
(575) 387-6656
NPI assigned
Aug 31, 2010
Last updated
Aug 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Beverly Dobbins-Montoya
Title
Director
Phone
(575) 387-3146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3549 State Hwy 518
Holman, NM 87723

Mailing address

PO Box 180
Holman, NM 87723
Phone (575) 387-3146

Other names 1

  • Mora Independant Schools Other name

National Provider Directory

National Provider Directory
Tax ID family
Mora Colfax Head Start2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1104132976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "HOLMAN",
            "state": "NM",
            "postal_code": "87723",
            "telephone_number": "575-387-3146",
            "fax_number": "575-387-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3549 STATE HWY 518",
            "city": "HOLMAN",
            "state": "NM",
            "postal_code": "87723",
            "telephone_number": "575-387-3146",
            "fax_number": "575-387-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORA COLFAX HEAD START",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "DOBBINS-MONTOYA",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-387-3146"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mora Independant Schools",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holman, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.