NPIMap

Organization Active NPI

Golden Spread Rural Frontier

  • Counselor
  • Clayton, NM
National Provider Identifier
1356408256
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
02-381344-00-0 Issued in NM
Legal business name
GOLDEN SPREAD RURAL FRONTIER
Practice address
113 Walnut St
Clayton, NM 88415-3049
Phone
(505) 374-6207
Fax
(505) 374-0566
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Shana Morris
Title
Director
Phone
(505) 374-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 02-381344-00-0 NM Primary

Addresses

Primary practice location

113 Walnut St
Clayton, NM 88415-3049

Mailing address

PO Box 96
Clayton, NM 88415-0096
Phone (505) 374-6207

National Provider Directory

National Provider Directory
Tax ID family
Golden Spread Rural Frontier Coalition4 organizations share this tax ID, including this one

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356408256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884150096",
            "telephone_number": "505-374-6207",
            "fax_number": "505-374-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WALNUT ST",
            "city": "CLAYTON",
            "state": "NM",
            "postal_code": "884153049",
            "telephone_number": "505-374-6207",
            "fax_number": "505-374-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SPREAD RURAL FRONTIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-374-6207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "02-381344-00-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, 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.