Mescalero Apache Tribe

Organization Active NPI Community/Behavioral Health Agency · Mescalero, NM

NPI 1346748282 · NPPES record last updated Jan 25, 2018

Key facts

NPI
1346748282
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MESCALERO APACHE TRIBE
Practice address
311 War Bonnet Drive
Mescalero, NM 88340
Phone
(575) 464-4301
Fax
(575) 464-3404
NPI assigned
Jan 25, 2018
Organization subpart
Yes
Parent organization (as reported)
MESCALERO APACHE TRIBE

Authorized official

Name
Joellyn Pauline Magoosh
Title
Director
Phone
(575) 464-9274

Corporate family (same tax ID) 3

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

National Provider Directory

Tax ID family
Mescalero (4 organizations share this tax ID)
Part of
Mescalero

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

311 War Bonnet Drive
Mescalero, NM 88340

Mailing address

PO Box 227
Mescalero, NM 88340-0227
Phone (575) 464-4301

Other names

  • Mescalero System of Care Doing business as

Other providers in Mescalero, NM

All providers in Mescalero, NM · Community/Behavioral Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.