Organization Active NPI

Alianza of New Mexico

  • Case Management Agency
  • Roswell, NM
National Provider Identifier
1578881868
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ALIANZA OF NEW MEXICO
Practice address
1200 S Richardson Ave
Roswell, NM 88203-5577
Phone
(575) 623-1995
Fax
(575) 623-1998
NPI assigned
May 11, 2010
Last updated
Jun 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Authorized official

Name
Mrs. Sashua C Patton, MSW
Title
Executive Director
Phone
(575) 623-1995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1200 S Richardson Ave
Roswell, NM 88203-5577

Mailing address

1200 S Richardson Ave
Roswell, NM 88203-5577
Phone (575) 623-1995

Other identifiers 1

IdentifierTypeStateIssuer
000D3323MedicaidNM

Other names 1

  • Pecos Valley HIV/AIDS Resource Center Former legal business name

National Provider Directory

National Provider Directory

Locations

1200 S Richardson Ave
Roswell, NM 88203
Phone (575) 623-1995

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1578881868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035577",
            "telephone_number": "575-623-1995",
            "fax_number": "575-623-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035577",
            "telephone_number": "575-623-1995",
            "fax_number": "575-623-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIANZA OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "SASHUA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "575-623-1995",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D3323",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pecos Valley HIV/AIDS Resource Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.