NPIMap

Organization Active NPI

Chimayo Youth Conservation Corps

  • Voluntary or Charitable Agency
  • Chimayo, NM
National Provider Identifier
1669535837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CHIMAYO YOUTH CONSERVATION CORPS
Practice address
Cr103, Manzana Center-Building 3
Chimayo, NM 87522-1027
Phone
(505) 351-1456
Fax
(505) 351-1556
NPI assigned
Dec 19, 2006
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
Ms. Suellen Strale, MANPI 1861726226
Title
Executive Director
Phone
(505) 351-1456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

Cr103, Manzana Center-Building 3
Chimayo, NM 87522-1027

Mailing address

PO Box 1027
Chimayo, NM 87522-1027
Phone (505) 351-1456

National Provider Directory

National Provider Directory

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": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669535837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "CHIMAYO",
            "state": "NM",
            "postal_code": "875221027",
            "telephone_number": "505-351-1456",
            "fax_number": "505-351-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CR103, MANZANA CENTER-BUILDING 3",
            "city": "CHIMAYO",
            "state": "NM",
            "postal_code": "875221027",
            "telephone_number": "505-351-1456",
            "fax_number": "505-351-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMAYO YOUTH CONSERVATION CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRALE",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-351-1456",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chimayo, 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.