Organization Active NPI

St. Martin'S Hospitality Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
National Provider Identifier
1346365301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0068912 Issued in NM
Legal business name
ST. MARTIN'S HOSPITALITY CENTER
Practice address
1201 3Rd St NW
Albuquerque, NM 87102-1403
Phone
(505) 764-8231
Fax
(505) 248-1351
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lee Pattison, PHD
Title
Executive Director
Phone
(505) 242-4399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0068912 NM Primary

Addresses

Primary practice location

1201 3Rd St NW
Albuquerque, NM 87102-1403

Mailing address

1201 3Rd St NW
Albuquerque, NM 87102-1403
Phone (505) 764-8231

Other identifiers 1

IdentifierTypeStateIssuer
44071388MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
St Martin'S Hospitality Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1201 3rd St NW
Albuquerque, NM 87102
Phone (505) 242-4399

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346365301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 3RD ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021403",
            "telephone_number": "505-764-8231",
            "fax_number": "505-248-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 3RD ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871021403",
            "telephone_number": "505-764-8231",
            "fax_number": "505-248-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARTIN'S HOSPITALITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTISON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-242-4399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "0068912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44071388",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.