NPIMap

Organization Active NPI

The Community Foundation of Southern New Mexico

  • Student Health Clinic/Center
  • Chaparral, NM
National Provider Identifier
1407094980
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICO
Practice address
800 County Line
Chaparral High School-Based Health Center
Chaparral, NM 88081
Phone
(575) 882-6300
Fax
(575) 824-5081
NPI assigned
Jan 22, 2009
Organization subpart
Yes
Parent organization
THE COMMUNITY FOUNDATION OF SOUTHERN NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

800 County Line
Chaparral High School-Based Health Center
Chaparral, NM 88081

Mailing address

301 S Church St
Ste H
Las Cruces, NM 88001-3547
Phone (575) 521-4794

Other identifiers 1

IdentifierTypeStateIssuer
1D05MedicaidNM

Other names 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2244722Chaparral High School800 County Line Dr, Chaparral, NM 88081Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory
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.

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1407094980",
    "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": "800 COUNTY LINE",
            "address_2": "CHAPARRAL HIGH SCHOOL-BASED HEALTH CENTER",
            "city": "CHAPARRAL",
            "state": "NM",
            "postal_code": "88081",
            "telephone_number": "575-882-6300",
            "fax_number": "575-824-5081"
        }
    ],
    "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": "2009-01-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D05",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chaparral High School-Based Health Center (Adolescent Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chaparral, NM

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.