NPIMap

Organization Active NPI

Bair Foundation

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1487926192
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
M-07255 Issued in NM
Legal business name
BAIR FOUNDATION
Practice address
755 S Telshor Blvd Ste 109-D
Las Cruces, NM 88011-4688
Phone
(575) 647-1604
NPI assigned
Jan 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Sue Mickolic, LSW
Title
Executive Director
Phone
(724) 946-8711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X M-07255 NM Primary

Addresses

Primary practice location

755 S Telshor Blvd Ste 109-D
Las Cruces, NM 88011-4688

Mailing address

755 S Telshor Blvd Ste 109-D
Las Cruces, NM 88011-4688
Phone (575) 647-1604

National Provider Directory

National Provider Directory
Tax ID family
The Bair Foundation-Iaft-108 Executive Park14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

755 S Telshor Blvd
Ste 109D
Las Cruces, NM 88011
Phone (575) 647-1604

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1487926192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD STE 109-D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114688",
            "telephone_number": "575-647-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S TELSHOR BLVD STE 109-D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114688",
            "telephone_number": "575-647-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIR FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "MICKOLIC",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-946-8711",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-07255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.