The Community Foundation of Southern New Mexico

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO

Practice address

1755 El Paseo
Las Cruces High School - Based Health Center
Las Cruces, NM 88011

Phone

(575) 527-9400

Fax

(575) 527-9767

NPI assigned

Mar 6, 2009

Last updated

Jan 10, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICOAs reported in NPPES

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

Authorized official

Name

Cynthia Solum

Title

Administrative Assistant

Phone

(575) 521-4794

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Las Cruces High School- Based Health Center (Adolescent Services) Other name

Tax ID family

The Community Foundation of Southern New Mexico5 organizations share this tax ID, including this one

Part of

The Community Foundation of Southern New Mexico

Other organizations with this tax ID 4

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

• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Anthony, NM
  • NPI 1013155738
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1124331103
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Chaparral, NM
  • NPI 1407094980
  NPD tax ID
• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1780822247
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Las Cruces, NM
  • NPI 1124331103
  NPPES parent name

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1245470061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CHURCH ST",
            "address_2": "STE H",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013547",
            "telephone_number": "575-521-4794",
            "fax_number": "575-521-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 EL PASEO",
            "address_2": "LAS CRUCES HIGH SCHOOL - BASED HEALTH CENTER",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88011",
            "telephone_number": "575-527-9400",
            "fax_number": "575-527-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "SOLUM",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "575-521-4794"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D01",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Cruces High School- Based Health Center (Adolescent Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• The Community Foundation of Southern New Mexico
• The Community Foundation of Southern New Mexico
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Las Cruces Village)
• The Heritage Assisted Living & Adult Day Care, LLC
• The Jericho House

• Student Health Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Student Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.