Active NPI
Rio Arriba Health and Human Services
- Community/Behavioral Health Agency
- Espanola, NM
National Provider Identifier
1548323926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RIO ARRIBA HEALTH AND HUMAN SERVICES
- Practice address
- 1100 N Paseo de Onate
Espanola, NM 87532-3454 - Phone
- (505) 753-3143
- Fax
- (505) 753-1769
- NPI assigned
- Dec 18, 2006
- Last updated
- Oct 24, 2018
- Organization subpart
- Yes
- Parent organization
- RIO ARRIBA COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren I Reichelt
- Title
- Director-Health & Human Services
- Phone
- (505) 753-3143
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | M04710 | NM | |
| Home Health Agency | 251E00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1100 N Paseo de Onate
Espanola, NM 87532-3454
Mailing address
P.O. Box 94508
Albuquerque, NM 87199-5408
Phone (505) 384-7352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NM600621 | Other | NM | PROVIDER ID |
| 41055853 | Medicaid | NM |
Other names 1
- RACMOS
National Provider Directory
National Provider Directory- Tax ID family
- Rio Arriba Health and Human Services
- Part of
- Rio Arriba Health and Human Services
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Rio Arriba County Senior Division
- Adult Day Care Clinic/Center
- Espanola, NM
- NPI 1003568650
-
- Recovery Care Clinic/Center
- Espanola, NM
- NPI 1710630231
-
- Community/Behavioral Health Agency
- Espanola, NM
- NPI 1134595010
Locations
1100 N Paseo de Onate
Espanola, NM 87532
Phone (505) 753-3143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540339200000",
"number": "1548323926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 94508",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871995408",
"telephone_number": "505-384-7352",
"fax_number": "505-274-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875323454",
"telephone_number": "505-753-3143",
"fax_number": "505-753-1769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO ARRIBA HEALTH AND HUMAN SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIO ARRIBA COUNTY",
"enumeration_date": "2006-12-18",
"last_updated": "2018-10-24",
"status": "A",
"authorized_official_last_name": "REICHELT",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "DIRECTOR-HEALTH & HUMAN SERVICES",
"authorized_official_telephone_number": "505-753-3143"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NM",
"license": "M04710",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "NM600621",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41055853",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RACMOS",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "RACMOS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.