NPIMap

Organization Active NPI

Mescalero Apache Tribe

Doing business as Mescalero System of Care

  • Community/Behavioral Health Agency
  • Mescalero, NM
National Provider Identifier
1346748282
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MESCALERO APACHE TRIBE
Doing business as
Mescalero System of Care
Practice address
311 War Bonnet Drive
Mescalero, NM 88340
Phone
(575) 464-4301
Fax
(575) 464-3404
NPI assigned
Jan 25, 2018
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MESCALERO APACHE TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Mescalero System of Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mescalero4 organizations share this tax ID, including this one
Part of
Mescalero

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1346748282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "883400227",
            "telephone_number": "575-464-4301",
            "fax_number": "575-464-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WAR BONNET DRIVE",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "88340",
            "telephone_number": "575-464-4301",
            "fax_number": "575-464-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESCALERO APACHE TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MESCALERO APACHE TRIBE",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "MAGOOSH",
        "authorized_official_first_name": "JOELLYN",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "575-464-9274"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mescalero System of Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mescalero, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.