NPIMap

Organization Active NPI

Una Ala Clinic, Inc

  • Methadone Clinic
  • Espanola, NM
National Provider Identifier
1609089408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
CSOOO2020217 Issued in NM
Legal business name
UNA ALA CLINIC, INC
Practice address
104 Los Alamos Hwy
Espanola, NM 87532-2747
Phone
(505) 747-8187
Fax
(505) 747-8306
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Martinez
Title
Executive Director
Phone
(505) 747-8187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X CSOOO2020217 NM Primary

Addresses

Primary practice location

104 Los Alamos Hwy
Espanola, NM 87532-2747

Mailing address

104 Los Alamos Hwy
Espanola, NM 87532-2747
Phone (505) 747-8187

National Provider Directory

National Provider Directory

Locations

104 Los Alamos Hwy
Espanola, NM 87532
Phone (505) 747-8187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609089408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 LOS ALAMOS HWY",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322747",
            "telephone_number": "505-747-8187",
            "fax_number": "505-747-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOS ALAMOS HWY",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322747",
            "telephone_number": "505-747-8187",
            "fax_number": "505-747-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNA ALA CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-747-8187",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NM",
            "license": "CSOOO2020217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.