NPIMap

Organization Active NPI

State of New Mexico

  • Public Health or Welfare Agency
  • Santa Fe, NM
National Provider Identifier
1457539322
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF NEW MEXICO
Practice address
2025 S Pacheco St
Santa Fe, NM 87505-3991
Phone
(505) 827-3100
NPI assigned
Feb 4, 2008
Organization subpart
Yes
Parent organization
STATE OF NEW MEXICOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Robert Stevens, RPH
Title
Chief
Phone
(505) 827-6207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

2025 S Pacheco St
Santa Fe, NM 87505-3991

Mailing address

PO Box 2348
Santa Fe, NM 87504-2348
Phone (505) 827-3100

Other names 1

  • Medical Assistance Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scientific Laboratory Division Nmdoh43 organizations share this tax ID, including this one
Part of
Scientific Laboratory Division Nmdoh

Other organizations with this tax ID 42

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

View all 42

Locations

Dept 1738
Denver, CO 80291

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1457539322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2348",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875042348",
            "telephone_number": "505-827-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053991",
            "telephone_number": "505-827-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW MEXICO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEW MEXICO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "505-827-6207",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Assistance Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.